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Individual
DR. TOM PRAKASH THERUVATH
Active
Individual
DR. TOM PRAKASH THERUVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2015-01140
NC
208600000X
Surgery Physician
LL 30838
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2015-01140
NC
Other
Enumeration date
06/22/2008
Last updated
10/25/2020
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