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Individual
KARAN L THOMAS
Active
Individual
KARAN L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4704160058
MI
363L00000X
Nurse Practitioner
Primary
4704160058
MI
363LF0000X
Family Nurse Practitioner
71000932
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205870029
—
MI
05
—
200284930
—
IN
Enumeration date
06/15/2006
Last updated
01/03/2012
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