Individual
SURESH P THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
179 WOODLAND DRIVE, SUITE 202, BECKLEY, WV 25801
(304) 255-4812
(304) 253-1871
Mailing address
179 WOODLAND DRIVE, SUITE 202, BECKLEY, WV 25801
(304) 255-4812
(304) 253-1871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20156
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110208397
RAILROAD MEDICARE
WV
05
—
6001000000
—
WV
Enumeration date
10/19/2006
Last updated
09/14/2011
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