Individual
DR. DEEPAK POTTAYIL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPHIL
Contact information
Practice address
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/CARDIOLOGY, RICHMOND, VA 23298-5051
(804) 828-0192
(804) 828-5566
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101255667
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101255667
VA
Other
Enumeration date
12/26/2007
Last updated
03/08/2017
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