Pathom Thavaradhara, MD - Internal Medicine in Pampa, TX

Pathom Thavaradhara, MD is a Internal Medicine - Pulmonary Disease physician based in Pampa, Texas. Pathom Thavaradhara is licensed to practice in Texas (license number L8581) and his current practice location is 100 W 30th Ave Ste 102, Pampa, Texas. He can be reached at his office (for appointments etc.) via phone at (806) 669-2900.

NPI number for Pathom Thavaradhara is 1043237076 and his current mailing address is 100 W 30th Ave Ste 102, Pampa, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043237076.

Contact Information

Pathom Thavaradhara, MD
100 W 30th Ave Ste 102,
Pampa, TX 79065-2814
(806) 669-2900
(806) 669-2301

Map and Direction




Physician's Profile

Full NamePathom Thavaradhara
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location100 W 30th Ave Ste 102, Pampa, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043237076
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/25/2008

Medical Identifiers

Medical identifiers for Pathom Thavaradhara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043237076NPI-NPPES
8M7360OtherTXBLUE CROSS/BLUE SHIELD
P00209318OtherRAILROAD MEDICARE, PALMETTO GBA
167273501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease L8581 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pathom Thavaradhara is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pathom Thavaradhara, MD
100 W 30th Ave Ste 102,
Pampa, TX 79065-2814

Ph: (806) 669-2900
Pathom Thavaradhara, MD
100 W 30th Ave Ste 102,
Pampa, TX 79065-2814

Ph: (806) 669-2900

Reviews and Comments


Internal Medicine Doctors in Pampa, TX

Dr. Ralf B Lukner, MD, PHD
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Dr. James K Hall Jr., M.D.
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Kevin D Sieck, MD
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Medicare: Accepting Medicare Assignments
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Phone: 806-665-0801    Fax: 806-665-8503
Dr. Luke R Hinshaw, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3023 Perryton Pkwy Ste 101, Pampa, TX 79065
Phone: 806-665-0801    Fax: 806-665-8503
Dr. Kelvin Osagie Akhigbe, D.O
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Medicare: Accepting Medicare Assignments
Practice Location: 3023 Perryton Pkwy Ste 202, Pampa, TX 79065
Phone: 806-665-0801    Fax: 806-665-8503

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