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NPI Code Detail

MEDICARE: THAVAM C THAMBI-PILLAI MD

MEDICARE: THAVAM C THAMBI-PILLAI 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
1208600000XSurgery Physician35085448OH
2204F00000XTransplant Surgery Physician7886SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487610465
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAVAM C THAMBI-PILLAI MD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-3840
Fax Number : 605-328-3841
Provider Business Practice Location Address
First Line : 1508 W 22ND ST STE 101
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1514
Country : US
Telephone Number : 605-328-3840
Fax Number : 605-328-3841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 04/16/2024

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Directions to “ THAVAM C THAMBI-PILLAI MD” Practice Location

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