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Individual
THANKAMMA JOHN PUTHIAPARAMPIL
Active
Individual
THANKAMMA JOHN PUTHIAPARAMPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A36048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A360480
—
CA
01
—
A36048
MEDICAL LICENSE#
CA
Enumeration date
06/02/2006
Last updated
03/07/2023
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