Siddarth Thakur (NPI# 1588921365, PAC ID# 8022360288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1588921365 |
| PAC ID by PECOS | 8022360288 |
| Professional Enrollment ID | I20181016003231 |
| Full Name | Siddarth Thakur |
| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK INC |
| Address |
5651 Poplar Tent Rd Suite 102 Concord NC 28027-7530 |
| Phone Number | 7047824878 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 3375449655 |
| Number of Group Practice Members | 1149 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 10628 Park Rd, Charlotte, NC 28210-8407 | 7046671000 | CAROLINAS MEDICAL CENTER |
| 5727 Prosperity Crossing Dr, Charlotte, NC 28269-0034 | 7048639830 | CAROLINAS PHYSICIANS NETWORK INC |
| 5651 Poplar Tent Rd, Suite 102, Concord, NC 28027-7530 | 7047824878 | CAROLINAS PHYSICIANS NETWORK INC |
| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK INC |
| Physicians | 1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Young Jin Kim | Nurse Practitioner | Carolinas Physicians Network Inc | 101 E Wt Harris Blvd, Bld 1000 Suite 1110, Charlotte, NC 28262-3485 |
| Punam Rajput | Endocrinology | Carolinas Physicians Network Inc | 2202 Carolina Pl, Suite 100, Kings Mountain, NC 28086-8807 |
| Lauren S Feldman | Psychiatry | Carolinas Physicians Network Inc | 202 E Grover St, Shelby, NC 28150-3977 |
| Jeffrey Ham | Family Medicine | Carolinas Physicians Network Inc | 5651 Poplar Tent Rd, Suite 102, Concord, NC 28027-7530 |
| Steven A Paterno | Obstetrics/gynecology | Carolinas Physicians Network Inc | 349 Penny Lane Ne, Concord, NC 28025-1221 |
| Kathryn R Martin | Nurse Practitioner | Carolinas Physicians Network Inc | 10650 Park Rd, Suite 300, Charlotte, NC 28210-8543 |
| Nestor M Quezada | Infectious Disease | Carolinas Physicians Network Inc | 4539 Hedgemore Dr, Suite 100, Charlotte, NC 28209-3237 |
| Rebekah L Aurie | Family Medicine | Carolinas Physicians Network Inc | 4315 Physicians Blvd, Suite 101, Harrisburg, NC 28075-7431 |
| Anna Beth Sparks Deaton | Physician Assistant | Carolinas Physicians Network Inc | 1090 Vinehaven Dr Ne, Concord, NC 28025-2438 |
| Holly Melton | Nurse Practitioner | Carolinas Physicians Network Inc | 835 Albemarle Rd, Troy, NC 27371-8682 |
| Street Address |
5651 POPLAR TENT RD SUITE 102 |
| City | CONCORD |
| State | NC |
| Zip | 28027-7530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Ham | Family Medicine | Carolinas Physicians Network Inc | 5651 Poplar Tent Rd, Suite 102, Concord, NC 28027-7530 |
| Christina Lynn Vorobej | Sports Medicine | Carolinas Physicians Network Inc | 5651 Poplar Tent Rd, Suite 102, Concord, NC 28027-7530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg W Hayden | Physical Therapy | Benchmark Physical Therapy of North Carolina LLC | 354 George W Liles Pkwy Nw, Suite 140, Concord, NC 28027-2405 |
| Geoffrey A Rose | Chiropractic | 331 Coddle Market Dr Nw, Suite 110, Concord, NC 28027-2419 | |
| Jason R Rose | Chiropractic | Carolina Totalcare Pa | 331 Coddle Market Dr Nw, Suite 110, Concord, NC 28027-2419 |
| Ryan C Corte | Optometry | Modern Eye Care Od Pa | 5325 Vinning St Nw, Concord, NC 28027-2946 |
| Timothy John Eichenbrenner | Pediatric Medicine | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| William Lee Thomas | Family Medicine | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Kashmira P Wankhedkar | Internal Medicine | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Hang Hoang | Nurse Practitioner | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Sitarama R Chintalapati | Hospitalist | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Candace A Boone | Nurse Practitioner | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Find all physicians in zip 28027 | |||
| City | CONCORD |
| Zip Code | 28027 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | CONCORD + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Siddarth Thakur.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.