NPI 1831355569
Shantanu Kumar Thakur, MD
Practice location
- Address
- 13039 Victory Blvd, North Hollywood, CA 91606-2925
- Phone
- (213) 283-9202
- Mailing address
- 440 N Barranca Ave STE 9202, Covina, CA 91723-1722
Registered specialties (6)
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Physical Medicine & Rehabilitation Physician
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1831355569
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Aug 2008
- Record last updated
- 29 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.