Individual
AGIN GHEEVARUGHESE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
(520) 228-2615
Mailing address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD465295
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2016
Last updated
08/14/2020
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