Gunvant K Thaker (NPI# 1104920719, PAC ID# 0840450540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1104920719 |
| PAC ID by PECOS | 0840450540 |
| Professional Enrollment ID | I20120404000081 |
| Full Name | Gunvant K Thaker |
| Organization Legal Name | BROOK LANE HEALTH SERVICES INC |
| Address |
18714 N Village Sh Ctr Hagerstown MD 21742-2454 |
| Phone Number | 3017330330 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9436140068 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 18714 N Village Sh Ctr, Hagerstown, MD 21742-2454 | 3017330330 | BROOK LANE HEALTH SERVICES INC |
| Organization Legal Name | BROOK LANE HEALTH SERVICES INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Smith | Clinical Social Worker | Brook Lane Health Services Inc | 18714 N Village Sh Ctr, Hagerstown, MD 21742-2454 |
| Kathryn M Koons | Nurse Practitioner | Brook Lane Health Services Inc | 13215 Brook Lane Dr, Hagerstown, MD 21742-1435 |
| Julie L Rush | Clinical Social Worker | Brook Lane Health Services Inc | 13215 Brook Lane Dr, Hagerstown, MD 21742-1435 |
| Ingrid I Backman | Clinical Social Worker | Brook Lane Health Services Inc | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 |
| Karen Novelli Daly | Clinical Social Worker | Brook Lane Health Services Inc | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 |
| Angela Dumitrache | Psychiatry | Brook Lane Health Services Inc | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 |
| Curtis E Vanover | Psychiatry | Brook Lane Health Services Inc | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 |
| Shelley L Pollock | Clinical Social Worker | Brook Lane Health Services Inc | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 |
| Street Address |
18714 N VILLAGE SH CTR |
| City | HAGERSTOWN |
| State | MD |
| Zip | 21742-2454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Smith | Clinical Social Worker | Brook Lane Health Services Inc | 18714 N Village Sh Ctr, Hagerstown, MD 21742-2454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana M Gaviria | Family Medicine | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Gerald J Apollon | Family Medicine | U N I Medical Care Inc | 187 N Pointe Dr, Suite 113, Hagerstown, MD 21742 |
| Erwin Aldana | Critical Care (intensivists) | U N I Medical Care Inc | 187 N Pointe Dr, Suite 113, Hagerstown, MD 21742 |
| Tammi P Fuller | Certified Nurse Midwife (cnm) | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Melissa S Crawford-halterman | Clinical Social Worker | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Abebe Haregewoin | Radiation Oncology | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Victoria E Sterling | Clinical Social Worker | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Tammy S Thornton | Registered Dietitian Or Nutrition Professional | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Sharon L Nayfack | Clinical Social Worker | Washington County Health Department | 1302 Pennsylvania, Hagerstown, MD 21742 |
| Kathryn M Koons | Nurse Practitioner | Brook Lane Health Services Inc | 13215 Brook Lane Dr, Hagerstown, MD 21742-1435 |
| Find all physicians in zip 21742 | |||
| City | HAGERSTOWN |
| Zip Code | 21742 |
| Specialty | PSYCHIATRY |
| City + Specialty | HAGERSTOWN + PSYCHIATRY |
Please comment or provide details below to improve the information on Gunvant K Thaker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.