Thomas, Madaelil George

Thomas, Madaelil George is an individual health care provider with primary practice located at 1150 Robert Blvd Suite 340, Slidell LA 70458-2004. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thomas, Madaelil George can be contacted via phone (985) 649-2883.

Contact Information

Primary practice address
1150 Robert Blvd Suite 340 Slidell LA 70458-2004
Fax: (985) 649-2953
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 05592R Louisiana

Profile Details

NPI number 1417950346
LBN Legal business name Thomas, Madaelil George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 13th, 2009 - 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 1417950346 NPPES
Louisiana MEDICAID 1316067

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