# THOMAS G NILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407820772
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01038992A | IN | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 02/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000087515 | ANTHEM BC/BS | IN |
| 05 | — | 0748972 | — | OH |
| 05 | — | 0825398 | — | OH |
| 05 | — | 100081380 | — | IN |
| 05 | — | 100329810 | — | IN |