Provider Demographics
NPI:1154568657
Name:THACKER, MEGHNA (NMD)
Entity type:Individual
Prefix:DR
First Name:MEGHNA
Middle Name:
Last Name:THACKER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 E VIA DE VENTURA APT 2006
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6613
Mailing Address - Country:US
Mailing Address - Phone:480-266-4423
Mailing Address - Fax:
Practice Address - Street 1:9755 N 90TH ST STE A210
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5079
Practice Address - Country:US
Practice Address - Phone:480-767-7119
Practice Address - Fax:480-614-5822
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-1079175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath