Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Harsh Anish Thacker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588398614

Harsh Anish Thacker is a Student in an Organized Health Care Education/Training Program in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

22250 Providence Drive 7PMB Ste #703A
Southfield, MI 48075-4818
Phone: (248) 849-5862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4351050213 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588398614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 9, 2023
Mailing address22250 Providence Drive, 7pmb Suite #703a, Southfield, MI 48075-4818

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