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

Kishan Thakkar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104528132

Kishan Thakkar is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104528132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJune 2, 2024
Certification dateJune 2, 2024
Mailing address970 N Spoede Rd Unit 45, Saint Louis, MO 63146-5565

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