Individual provider · Type 1 NPI

Jenin Thomas, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1730053018 Active

Practice location

5800 Ridge Avenue
Philadelphia, PA 19128

Call (215) 483-9900 Map

Mailing address

107 Avian Aly
Media, PA 19063-2435

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT235725 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730053018

Jenin Thomas, MD's National Provider Identifier is 1730053018, issued on Oct 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 1, 2025.