Basic Information
Provider Information
NPI: 1831537836
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THOMAS
FirstName: ANNA
MiddleName: NJARLANGATTIL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NJARLANGATTIL
OtherFirstName: ANNA
OtherMiddleName: PAULOSE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 829641
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 18902
CountryCode: US
TelephoneNumber: 2673705296
FaxNumber: 2152303725
Practice Location
Address1: 4259 W SWAMP RD STE 303
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 189021033
CountryCode: US
TelephoneNumber: 1523452535
FaxNumber: 2679465948
Other Information
ProviderEnumerationDate: 06/12/2013
LastUpdateDate: 12/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0002XMD458458PAY Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


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