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Individual
DR. KOZHIMALA THOMAS JOHN
Active
Individual
DR. KOZHIMALA THOMAS JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME23148
FL
207RG0100X
Gastroenterology Physician
ME23148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058391000
—
FL
01
—
51086
BCBS
—
Enumeration date
09/14/2006
Last updated
05/10/2021
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