| Doctor Name: | MICHELLE DENISE THOMAS |
| NPI Number: | 1659370039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD19906 |
| Business Practice Address: | 12172 Central Ave #100 Mitchellville, MD - 207211900 |
| Business Phone Number: | 3073905704 |
| Business Fax Number: | 3014647921 |
| Mailing Address: | Po Box 15609, WASHINGTON |
| State: | DC |
| Postal Code: | 200030609 |
| Phone Number: | 3013905704 |
| Fax Number: | 3014647921 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD19906 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |