Healthcare Provider Details

I. General information

NPI: 1811058373
Provider Name (Legal Business Name): MICHELLE YVETTE RICE THOMAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE YVETTE RICE THOMAS MD

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 CENTRAL AVE UNIT 6
CAPITOL HEIGHTS MD
20743-6128
US

IV. Provider business mailing address

1011 DANBURY DR
BOWIE MD
20721-3202
US

V. Phone/Fax

Practice location:
  • Phone: 240-913-5800
  • Fax: 833-764-6184
Mailing address:
  • Phone: 301-646-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0099977
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD32109
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: