Provider Demographics
NPI:1972619179
Name:THOMAS, ANIL K (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:43171 DALCOMA DR
Mailing Address - Street 2:STE 11-B
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038
Mailing Address - Country:US
Mailing Address - Phone:586-263-0670
Mailing Address - Fax:586-263-6202
Practice Address - Street 1:43171 DALCOMA DR
Practice Address - Street 2:STE 11-B
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038
Practice Address - Country:US
Practice Address - Phone:586-263-0670
Practice Address - Fax:586-263-6202
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2017-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIAT037132207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2905017822OtherMICH BLUE SHIELD
MI2905017822OtherMICH BLUE SHIELD
501782Medicare ID - Type Unspecified