Individual
ABRAHAM THEKKANATTU THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-8442
(301) 295-8555
(301) 400-0616
Mailing address
3958 BRAVEHEART CIR, FREDERICK, MD 21704-7743
(240) 416-2327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0004293
MD
363AM0700X
Medical Physician Assistant
Primary
C0004293
MD
Other
Enumeration date
01/10/2011
Last updated
03/05/2025
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