Provider Demographics
NPI:1124258801
Name:THAKUR, APARNA SANJEEV
Entity type:Individual
Prefix:
First Name:APARNA
Middle Name:SANJEEV
Last Name:THAKUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APARNA
Other - Middle Name:ONKARSINGH
Other - Last Name:RAJPUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2152 TAMIE LANE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95130
Mailing Address - Country:US
Mailing Address - Phone:408-871-8682
Mailing Address - Fax:
Practice Address - Street 1:14901 NATIONAL AVENUE STE 102
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032
Practice Address - Country:US
Practice Address - Phone:408-358-3631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35784208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation