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Individual
DR. SHAN J THOMAS
Active
Individual
DR. SHAN J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G 79405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB218080
MEDICARE ID
CA
05
—
GR0092204
—
CA
Enumeration date
07/18/2006
Last updated
01/03/2024
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