DR. MAITRAYA D THAKER DPM NPI 1699724427

NPI Information

NPI: 1699724427
Provider Name: DR. MAITRAYA D THAKER, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4385 JOHNS CREEK PKWY STE 200
SUWANEE, GA
ZIP 30024
Phone: (770) 349-9861
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DR. Maitraya D Thaker, DPM is a foot and ankle surgery podiatrist in Suwanee, GA with 40 years of experience. DR. Maitraya D Thaker, DPM NPI is 1699724427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4385 JOHNS CREEK PKWY STE 200
SUWANEE, GA
ZIP 30024-094
Phone: (770) 349-9861

The NPI 1699724427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	N004044-1	NEW YORK	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	000650	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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