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NPI Code Detail

MEDICARE: THOMAS A. SORBERA M.D.

MEDICARE:   THOMAS A. SORBERA  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
1208800000XUrology PhysicianA74942CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340019374OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2040752OTHERCAHILL PHYSICIANS
3A74942OTHERCALICENSE

General Provider Information

NPI Number : 1649382342
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS A. SORBERA M.D.
Provider Business Mailing Address
First Line : 8715 CENTER PKWY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-7921
Country : US
Telephone Number : 209-464-3627
Fax Number : 209-464-3630
Provider Business Practice Location Address
First Line : 1497 FAIR RD STE 102
Second Line :
City : STATESBORO
State : GA
Zip : 30458-0823
Country : US
Telephone Number : 912-764-9001
Fax Number : 912-764-3166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/16/2024

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Directions to “ THOMAS A. SORBERA M.D.” Practice Location

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