Provider Demographics
NPI:1487604740
Name:WELSH, THOMAS H (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:H
Last Name:WELSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1202 N FIJI WAY
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2887
Mailing Address - Country:US
Mailing Address - Phone:435-590-4199
Mailing Address - Fax:435-865-3472
Practice Address - Street 1:2550 N THUNDERBIRD CIRCLE
Practice Address - Street 2:SUITE 303
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215
Practice Address - Country:US
Practice Address - Phone:480-924-8382
Practice Address - Fax:480-924-8399
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT3082746-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005553215Medicare ID - Type Unspecified
UTD37826Medicare UPIN