DR. Rupa Thacker, M.D

NPI #1013226802 in Detroit, Michigan

Provider Information

NPI Number: 1013226802
Entity Type: Individual
Name: DR. Rupa Thacker, M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D
Enumeration Date: Sep 28, 2010
Last Updated: Jul 16, 2013

Practice Location

Address: 3901 BEAUBIEN ST
City: Detroit
State: Michigan
ZIP Code: 48201-2119
Phone: (313) 745-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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