Individual
ALMITRA D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01049066A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313122
ANTHEM
IN
05
—
200269270
—
IN
01
—
P00176290
MEDICARE RAILROAD
IN
Enumeration date
07/31/2006
Last updated
12/01/2021
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