Provider Demographics
NPI:1285730234
Name:THOMAS-PAULOSE, DEEPTI (MD)
Entity type:Individual
Prefix:
First Name:DEEPTI
Middle Name:
Last Name:THOMAS-PAULOSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEEPTI
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:622 W 168TH STREET
Mailing Address - Street 2:PH 1-137 ASSOCIATES IN EMERGENCY SERVICES CLINIC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3784
Mailing Address - Country:US
Mailing Address - Phone:212-305-2995
Mailing Address - Fax:212-305-6792
Practice Address - Street 1:622 W 168TH STREET
Practice Address - Street 2:PH1-137 COLUMBIA UNIVERSITY MED CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3784
Practice Address - Country:US
Practice Address - Phone:212-305-2995
Practice Address - Fax:212-305-6792
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240452207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine