Individual
DR. ABRAHAM PALAMOOTIL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE B350, GREENVILLE, SC 29615-6337
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036172294
IL
2084N0400X
Neurology Physician
2025024055
MO
2084N0400X
Neurology Physician
40035
SC
2084N0400X
Neurology Physician
A119741
CA
2084N0400X
Neurology Physician
ME103219
FL
2084N0400X
Neurology Physician
P7219
TX
2084V0102X
Vascular Neurology Physician
036172294
IL
2084V0102X
Vascular Neurology Physician
Primary
40035
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327801201
—
TX
05
—
40035A
—
SC
01
—
8DW955
BLUE CROSS BLUE SHIELD
TX
01
—
P01274192
RR MEDICARE
TX
Enumeration date
01/29/2008
Last updated
06/24/2025
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