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

Shantanu Kumar Thakur, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1831355569

Shantanu Kumar Thakur, MD is a Physical Medicine and Rehabilitation in North Hollywood, California. Graduated from Ohio State University College of Medicine in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Arizona, California and Ohio.

Years since qualifying
18
Trained at
Ohio State University College of Medicine
Licensed in
AZ, CA, OH
In the registry since
2008
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13039 Victory Blvd
North Hollywood, CA 91606-2925
Phone: (213) 283-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P0301X · Licence A119550 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A119550 (CA)
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081H0002X · Licence A119550 (CA)
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P0301X · Licence 46236 (AZ)
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P0301X · Licence 35.130014 (OH)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence A119550 (CA)

Record details

NPI number1831355569
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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