Individual
JASON THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 704-2303
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 704-2303
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179493
CA
207L00000X
Anesthesiology Physician
301307
NY
Other
Enumeration date
03/25/2017
Last updated
01/06/2023
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