Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kiran I Thaker, PA

Individual provider Physician Assistant · NPI 1619225802

Kiran I Thaker, PA is a Physician Assistant in Mesa, Arizona. Qualified in 2012, 14 years ago. Practices with Honorhealth Urgent Care LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
14
Licensed in
ME
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

835 W University Dr
Mesa, AZ 85201-5555
Phone: (480) 664-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1353 (ME)

Record details

NPI number1619225802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 21, 2012
Last updated in NPPESOctober 9, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Honorhealth Urgent Care Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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