Individual
SIJI SAJU THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103278
GA
363L00000X
Nurse Practitioner
Primary
759958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286682401
—
TX
01
—
861N03
BCBS
TX
Enumeration date
11/07/2011
Last updated
02/20/2026
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