Individual
DR. EAPEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 BANDERA COURT, JOHNSON CITY, TN 37604-1401
(423) 946-8668
Mailing address
2 BANDERA COURT, JOHNSON CITY, TN 37604-1401
(423) 946-8668
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11937
TN
207RG0100X
Gastroenterology Physician
MD60655687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170558
—
TN
Enumeration date
05/11/2006
Last updated
05/31/2016
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