Provider Demographics
NPI:1285807693
Name:RO, THOMAS K (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:RO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9001
Mailing Address - Country:US
Mailing Address - Phone:619-543-8213
Mailing Address - Fax:619-543-5576
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8411
Practice Address - Country:US
Practice Address - Phone:619-543-8213
Practice Address - Fax:619-543-5576
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2021-11-02
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Provider Licenses
StateLicense IDTaxonomies
CAA91769207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease