Individual
THOMAS S FANNING
Active
Individual
THOMAS S FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
3506761F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000203679
ANTHEM BCBS
—
01
—
060060628
RAILROAD MEDICARE
OH
05
—
2207463
—
OH
01
—
2502117
UNITED HEALTHCARE
—
01
—
2847815300
BUREAU OF WORKERS COM
OH
01
—
28478453001
MEDICAL MUTUAL OF OHIO
—
01
—
61238
NATIONWIDE
—
Enumeration date
04/07/2006
Last updated
06/02/2008
Update your record
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