Nedumthottathil, Thomas J

Nedumthottathil, Thomas J is an sole proprietor health care provider with primary practice located at 112 Airport Business Park Dr Suite F, Shelbyville TN 37160-7446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nedumthottathil, Thomas J can be contacted via phone (931) 685-8620.

Contact Information

Primary practice address
112 Airport Business Park Dr Suite F Shelbyville TN 37160-7446
Fax: (931) 685-8621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42606 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08034600 New Jersey

Profile Details

NPI number 1730241159
LBN Legal business name Nedumthottathil, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Nov 17th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730241159 NPPES
Tennessee Other 4163983 BCBS
Tennessee Other 4239941 BCBS
Tennessee Other 42635 BCBS
Tennessee MEDICAID 1507217 BCBS
Tennessee MEDICAID 1516785 BCBS

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