Madaelil, Thomas Philip

Madaelil, Thomas Philip is an sole proprietor health care provider with primary practice located at 510 S Kingshighway Blvd , Saint Louis MO 63110-1016. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Madaelil, Thomas Philip can be contacted via phone (314) 362-5460.

Contact Information

Primary practice address
510 S Kingshighway Blvd Saint Louis MO 63110-1016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT199111 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2016009664 Missouri
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X S0502 Texas

Profile Details

NPI number 1144513177
LBN Legal business name Madaelil, Thomas Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2011
Last updated Oct 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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