Individual provider · Type 1 NPI
George Thekkanattu Thomas, PA-C
Medical Physician Assistant · College Park, MD
NPI number
1336499151
Active
Practice location
Building 140 Campus Drive, University Health Center
College Park, MD 20742
Mailing address
8163 Mandan Ter
Greenbelt, MD 20770-2643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0004724 (MD) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in College Park
About NPI 1336499151
George Thekkanattu Thomas, PA-C's National Provider Identifier is 1336499151, issued on Sep 19, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in College Park, MD. The record was last updated on Feb 23, 2016.