Pathom Thavaradhara Md Pa, NPI 1861664435
Pulmonary Disease Physician in Pampa, TX, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1861664435 |
| NPI Entity Type | Organization |
| Provider Name | Pathom Thavaradhara Md Pa |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 100 W 30th Ave Ste 102, Pampa, TX, US |
| Provider Mailing Address | 100 W 30th Ave Ste 102, Pampa, TX, US, 790652814 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Pathom Thavaradhara |
| Official Position | PRESIDENT |
| Phone | 806-669-2900 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pulmonary Disease Physician |
| Classification | |
| Group | |
| License No. | L8581 |
| License State | TX |
| Description | An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0012LM | TX | BLUE CROSS/BLUE SHIELD | 01 |
| 167272701 | TX | MEDICAID | 05 |
| DD1161 | TX | RAILROAD MEDICARE, PALMETTO GBA | 01 |
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