Individual
DR. THIBIN D SANTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3995 OLD TOWN RD, STE 203, HUNTINGTOWN, MD 20639-3039
(410) 535-1005
(410) 535-0707
Mailing address
PO BOX 2661, PRINCE FREDERICK, MD 20678-2661
(410) 535-1005
(410) 535-0707
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0064324
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11605412
CAQH
—
Enumeration date
07/23/2006
Last updated
03/16/2017
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