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Individual

DR. IGNATIUS THOMAS

Active
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Individual

DR. IGNATIUS THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11618
MS
207RC0000X
Cardiovascular Disease Physician
Primary
14027
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00017357
MS
01
060018916
RAILROAD MEDICARE
05
1173690
LA
01
188649128D
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/31/2005
Last updated
08/25/2011
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