Poonam Thakore
M.D. | Pediatric Neonatal-Perinatal Medicine | Female
Poonam Thakore, M.D. is a Carbondale, Illinois based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Poonam Thakore is
405 W Jackson St, Carbondale, Illinois - 62901-1462. She can be contacted on phone at
618-549-0721.
Poonam Thakore is a sole proprietor of her business.
NPI number (Unique professional ID) for Poonam Thakore is
1447612148 which was assigned by NPPES on 22 Mar, 2016 and it was last updated on 11 Aug, 2022.
Poonam Thakore license number is
036159517 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Illinois.
Poonam Thakore is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Poonam Thakore basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Poonam Thakore |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Poonam Thakore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 405 W Jackson St
Carbondale, IL, 62901-1462
United States |
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| Phone Number : | 618-549-0721 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447612148 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Mar, 2016 |
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| Last Updated On : | 11 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Poonam Thakore are as mentioned. Primary taxonomy code for Poonam Thakore, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 62497 | CT |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 036159517 | IL |
| 208000000X | Pediatrics | No | 036159517 | IL |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
282 WASHINGTON ST,
HARTFORD, CT, 06106-3322
United States | HARTFORD, CT | 860-837-6277 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | pthakore57444@sih.direct-ci.com
| No affiliation |
|
| 405 W JACKSON ST,
CARBONDALE, IL, 62901-1462
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3988
Carbondale, IL, 62902-3988
United States |
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| Phone Number : | 618-457-5200 |
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| Fax Number : | 618-529-0586 |
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Business Location:
Patients can refer following map for directions to
Poonam Thakore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.