Individual
MARK A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4409 SW SHENANDOAH RD, TOPEKA, KS 66610-1678
(785) 554-6259
Mailing address
4409 SW SHENANDOAH RD, TOPEKA, KS 66610-1678
(785) 554-6259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-25848
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067115
MEDICARE PTAN
KS
05
—
100180660A
—
KS
Enumeration date
08/03/2006
Last updated
05/01/2026
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