Individual
DR. DAVID KIRAN THAMBAN
Active
Individual
DR. DAVID KIRAN THAMBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13978-320
WI
207L00000X
Anesthesiology Physician
Primary
4301082815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0411310
BCBS PIN
MI
05
—
4561057
—
MI
01
—
DT082815
BCBS LICENSE NUMBER
MI
01
—
P00067881
RAILROAD MEDICARE
MI
Enumeration date
04/14/2006
Last updated
12/17/2025
Update your record
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