Search › Missouri › 183500000X
Aditya Thaker
NPI 1598157810 · on the registry since 2015
Practice
- Address
- 1490 Mexico Loop Rd E
O Fallon, MO 63366 - Phone
- (636) 978-1602
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri