Doctor Name: | DR. SUDHA SWAMY THOMPSON |
NPI Number: | 1942324918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 066958 |
Business Practice Address: | 19900 State Route 739 Marysville, OH - 430409256 |
Business Phone Number: | 9376420298 |
Business Fax Number: | |
Mailing Address: | 276 Winter Hill Pl, POWELL |
State: | OH |
Postal Code: | 430658642 |
Phone Number: | 6147992318 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 066958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |