PRADEEP V THAKARE


Address: 1502 S Colorado St, Greenville, MS 38703-7219
Phone: 6623329872

PRADEEP V THAKARE (NPI# 1346357092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346357092
Entity Type Individual
Full Name PRADEEP V THAKARE
Credential MD
Practice Address 1502 S Colorado St
Greenville
MS 38703-7219
Mailing Address Po Box 23998
Jackson
MS 39225-3998
Practice Telephone 6623329872
Mailing Telephone 6627252749
Mailing Fax Number 6627252741
Enumeration Date 2006-08-25
Last Update Date 2007-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
08305 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 01636822 05
LA 1527882 05
RR MEDICARE P00258364 01

Office Location

Street Address 1502 S COLORADO ST
City GREENVILLE
State MS
Zip Code 38703-7219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043250418 Jackson Vamc Clinic/Center 1502 S Colorado St, Greenville, MS 38703-7219 2006-06-07
1376196238 Willie Andrew Pole Jr. Social Worker 1502 S Colorado St, Greenville, MS 38703-7219 2019-07-19
1194211094 Carly Maranne Hazzard Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2018-07-03
1992241269 Medical Foundation of Central Ms Inc Internal Medicine 1502 S Colorado St, Greenville, MS 38703-7219 2017-01-11
1578016259 Medical Foundation of Central Ms Inc Internal Medicine 1502 S Colorado St, Greenville, MS 38703-7219 2016-07-28
1861843690 Patricia Ann Barber Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2016-06-22
1568848299 Mary Riley Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2015-08-04
1144620592 Kelli Bearden Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2014-09-03
1457798241 Greenville Neuro Diagnostic Center, P.C. Psychiatry & Neurology 1502 S Colorado St, Greenville, MS 38703-7219 2013-06-03
1730446303 Greenville Neurology Center, LLC Psychiatry & Neurology 1502 S Colorado St, Greenville, MS 38703-7219 2012-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031373 Rohith Reddy Guduru Venkata Family Medicine Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 2020-07-24
1720627599 Ava Seniors Academy LLC Clinic/Center 2425 E. Alexander Street, Greenville, MS 38703 2019-12-27
1902370661 River City Rehabilitation Physical Therapy Assistant 1707 South Colorado Suite A, Greenville, MS 38703 2019-01-16
1942743653 Jalisa R Greer Speech-Language Pathologist 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 2016-11-29
1912381609 Mvp Health Systems Pharmacy 1907 N. Medical Park Drive, Greenville, MS 38703 2015-07-13
1558704387 Joann Wilson Driver 1766 Old Leland Rd, Greenville, MS 38703 2013-04-11
1215167150 Luther Brandon Oakes Family Medicine 1907 Lisa Drive Ext, Greenville, MS 38703 2009-07-24
1346462751 Drs Lenoir and Cirilli Pa Internal Medicine 1307 East Union, Greenville, MS 38703 2007-05-03
1669598561 Michael Joseph Cirilli Internal Medicine 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 2007-03-22
1780740183 Jean Marie Barker Family Medicine 1659 East Union Street, Greenville, MS 38703 2006-12-29
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023257300 Carolina Digestive Diseases, Pa Internal Medicine 704 W H Smith Blvd, Greenville, NC 27834-3761 2009-02-11
1386733558 Glenn Knoell Harvin Internal Medicine 521 Moye Blvd Fl 3, Ecu Physicians Gastroenterology, Greenville, NC 27834-2849 2006-10-12
1124070594 Joseph William Beets Internal Medicine 31 Medical Ridge Dr, Greenville, SC 29605 2006-05-16
1740238435 Atlantic Gastroenterology Pa Internal Medicine 2465 Emerald Pl, Greenville, NC 27834-5785 2006-05-04
1548245202 Stefano Pablo Marcuard Internal Medicine 428 Forrest Park, Greenville, NC 27858-6612 2005-12-14
1487643854 Raetta B Fountain Internal Medicine 2465 Emerald Place, Greenville, NC 27834-5785 2005-10-19
1477549376 Jack Cecil Cole Internal Medicine 2210 Hemby Lane, Greenville, NC 27834-3777 2005-09-26
1063404911 Mahfuzul Haque Internal Medicine 1800 W 5th St, Suite 5, Greenville, NC 27834-2888 2005-08-17
1679190284 Meredith Todd Rivenbark Internal Medicine 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2020-06-30
1649684077 Kalpit Himmatbhai Devani Internal Medicine 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2014-06-13
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Competitor

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City GREENVILLE
Zip Code 38703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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