Individual
CYRIAC THOMAS THACHET
Active
Individual
CYRIAC THOMAS THACHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD045339L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001273951
—
PA
01
—
0546984000
INDEPENDENCE BLUE CROSS
PA
01
—
1026843
KEYSTONE MERCY HEALTH
PA
01
—
1100949
KEYSTONE MERCY HEALTH
PA
01
—
110244602
RAILROAD MEDICARE
PA
01
—
1461
BRAVO HEALTH
PA
01
—
2776575
AETNA HMO
PA
01
—
3Y3535
HEALTH NET
PA
01
—
4622304
AETNA PPO
PA
01
—
473238
AETNA HMO
PA
01
—
538882
COVENTRY HEALTH AMERICA
PA
01
—
710859
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/01/2005
Last updated
12/12/2013
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