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NPI Code Detail

MEDICARE: THIBIN SANTHA MD, PC

MEDICARE: THIBIN SANTHA MD, PC
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
1207RN0300XNephrology PhysicianD0064324MD

General Provider Information

NPI Number : 1578704813
Entity Type Code : Organization
Provider Name (Legal Business Name) : THIBIN SANTHA MD, PC
Provider Business Mailing Address
First Line : PO BOX 2661
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-2661
Country : US
Telephone Number : 410-326-6978
Fax Number : 410-394-2805
Provider Business Practice Location Address
First Line : 14090 HG TRUEMAN ROAD
Second Line : SUITE 1300, BOX 93
City : SOLOMONS
State : MD
Zip : 20688-3151
Country : US
Telephone Number : 410-326-6978
Fax Number : 410-394-2805
Authorized Official
Title or Position : PRESIDENT
Name : DR. THIBIN SANTHA
Credential : M.D.
Telephone Number : 410-326-6978
Provider Enumeration Date : 03/17/2009
Last Update Date : 10/29/2009

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Directions to “THIBIN SANTHA MD, PC ” Practice Location

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