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NPI Code Detail

MEDICARE: DR. THOMAS ALLEN BUCHANAN M.D.

MEDICARE: DR. THOMAS ALLEN BUCHANAN M.D.
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
1207R00000XInternal Medicine PhysicianC42204CA
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianC42204CA

General Provider Information

NPI Number : 1003143991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ALLEN BUCHANAN M.D.
Provider Business Mailing Address
First Line : 1500 SAN PABLO ST
Second Line : 3 NORTH UNIVERSITY HOSPITAL
City : LOS ANGELES
State : CA
Zip : 90033-5313
Country : US
Telephone Number : 323-442-9576
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SAN PABLO ST
Second Line : 3 NORTH UNIVERSITY HOSPITAL
City : LOS ANGELES
State : CA
Zip : 90033-5313
Country : US
Telephone Number : 323-442-9576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 11/12/2009

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