Provider Demographics
NPI:1215074612
Name:WALSH, THOMAS EMMETT (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EMMETT
Last Name:WALSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 DENNIS AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4136
Mailing Address - Country:US
Mailing Address - Phone:240-777-1800
Mailing Address - Fax:
Practice Address - Street 1:2000 DENNIS AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4136
Practice Address - Country:US
Practice Address - Phone:240-777-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043029207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease