MEDICARE: SUNIL UTHUP THOMAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	Q9529	TX
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	Q9529	TX

General Provider Information

NPI Number	:	1316238025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNIL UTHUP THOMAS MD

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	281-916-1012
Fax Number	:	281-916-1073

Provider Business Practice Location Address
First Line	:	111 E EDGEWOOD DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-3818
Country	:	US
Telephone Number	:	281-916-1012
Fax Number	:	281-916-1073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	03/04/2026

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