MEDICARE: NITHIN THOMAS MD

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
1	207R00000X	Internal Medicine Physician	R6120	TX
2	207RH0000X	Hematology (Internal Medicine) Physician	103954	GA

General Provider Information

NPI Number	:	1235543992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NITHIN THOMAS MD

Provider Business Mailing Address
First Line	:	1365 CLIFTON ROAD
Second Line	:	BUILDING B, SUITE B4000
City	:	ATLANTA
State	:	GA
Zip	:	30322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1501
Country	:	US
Telephone Number	:	404-712-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2014
Last Update Date	:	04/08/2025

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Directions to “ NITHIN THOMAS MD” Practice Location

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