Individual
THOMAS MCILRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3333
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A67830
CA
208M00000X
Hospitalist Physician
Primary
A67830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810608749
PHCS
CA
01
—
0088964
CIGNA
CA
05
—
00A678300
—
CA
01
—
104558
INTERPLAN
CA
01
—
105367
HEALTH NET
CA
01
—
1783233
GREAT WEST
CA
01
—
2250367
FIRST HEALTH
CA
01
—
2441706
UNITED HEALTHCARE
CA
01
—
7254587
AETNA
CA
01
—
90140492
PACIFICARE
CA
01
—
A67830
BLUE CROSS
CA
01
—
MCMG338200
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/10/2012
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