Healthcare Provider Details

I. General information

NPI: 1942835186
Provider Name (Legal Business Name): JULIA MARIE NAMAN THOMAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA MARIE NAMAN

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 CALUMET AVE FL 2
MUNSTER IN
46321-4082
US

IV. Provider business mailing address

10240 CALUMET AVE FL 2
MUNSTER IN
46321-4082
US

V. Phone/Fax

Practice location:
  • Phone: 219-836-8100
  • Fax: 219-836-9656
Mailing address:
  • Phone: 219-836-8100
  • Fax: 219-836-9656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number01097155A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: