Healthcare Provider Details

I. General information

NPI: 1861462525
Provider Name (Legal Business Name): KARIN ELIZABETH THOMAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN ELIZABETH THOMAS MD

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9415 CAMPUS POINT DR DEPT. OF OPHTHALMOLOGY
LA JOLLA CA
92093-0946
US

IV. Provider business mailing address

31519 WINTERPLACE PKWY STE 1
SALISBURY MD
21804-1894
US

V. Phone/Fax

Practice location:
  • Phone: 858-534-6690
  • Fax:
Mailing address:
  • Phone: 410-546-2500
  • Fax: 410-546-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberC1-0011955
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: