Basic Information
Provider Information
NPI: 1114189560
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWARD
FirstName: TAMMI
MiddleName: THOMAS
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: THOMAS
OtherFirstName: TAMMI
OtherMiddleName: T
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 130 SUTTER ST FL 2
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941044009
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 4155200904
Practice Location
Address1: 1350 CONNECTICUT AVE NW STE 1250
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200361728
CountryCode: US
TelephoneNumber: 1202627190
FaxNumber: 2026271901
Other Information
ProviderEnumerationDate: 06/26/2008
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XD974006118320MNN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X35-097267OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD045398DCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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