| Michelle Thomas Md Inc | |
|
6246 N 1st St Ste 101 Fresno CA 93710-5480 | |
| (559) 436-1444 | |
| Not Available |
| Full Name | Michelle Thomas Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6246 N 1st St Ste 101, Fresno, California |
| Authorized Official Name and Position | Michelle A Thomas (PHYSICIAN) |
| Authorized Official Contact | 5596967770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Thomas Md Inc 1099 E Champlain Dr # 87 Fresno CA 93720-5030 Ph: (559) 696-7770 | Michelle Thomas Md Inc 6246 N 1st St Ste 101 Fresno CA 93710-5480 Ph: (559) 436-1444 |
| NPI Number | 1588250732 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Medicare PECOS PAC ID | 7719393370 |
|---|---|
| Medicare Enrollment ID | O20210304002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588250732 | NPI | - | NPPES |
| 00A621220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michelle A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588674634 PECOS PAC ID: 5991782377 Enrollment ID: I20040702000680 |
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