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General NPI Number Information
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NPI Number | 1821303413
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH MALIAKAL M.D
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Gender | Male
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | CENTRA LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS RD
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City | LYNCHBURG
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State | VA
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Zip | 24501
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Country | US
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Telephone | 201-661-0714
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Fax | 201-661-0714
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Provider Business Mailing Address
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Address Line | 5261 HIGH VISTA DR
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City | OREFIELD
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State | PA
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Zip | 18069-9117
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Country | US
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Telephone | 201-661-0714
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD451943
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101271084
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License Number State | VA
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