Provider Demographics
NPI:1215279492
Name:THOMAS, SRUTHI PANDIPATI (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SRUTHI
Middle Name:PANDIPATI
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6701 FANNIN ST # D1280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2608
Mailing Address - Country:US
Mailing Address - Phone:832-826-6105
Mailing Address - Fax:832-825-8978
Practice Address - Street 1:6701 FANNIN ST # D1280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-826-6105
Practice Address - Fax:832-825-8978
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR66922081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine