| Doctor Name: | DR. MAHENDRA O THAKRAR |
| NPI Number: | 1083719231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | E7299 |
| Business Practice Address: | 1602 Rock Prairie Rd Ste 3100 College Station, TX - 77845 |
| Business Phone Number: | 9797646868 |
| Business Fax Number: | 9796948804 |
| Mailing Address: | 5805 Shoreside Bend, IRVING |
| State: | TX |
| Postal Code: | 75039 |
| Phone Number: | 2146136895 |
| Fax Number: | 9796948804 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 01/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E7299 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |