Provider Demographics
NPI:1356013544
Name:THOMAS, ROHIT CHERIAN
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:CHERIAN
Last Name:THOMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20341 CHESTNUT GROVE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3345
Mailing Address - Country:US
Mailing Address - Phone:786-400-3001
Mailing Address - Fax:
Practice Address - Street 1:802 W DR MARTIN LUTHER KING JR BLVD STE D
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-5105
Practice Address - Country:US
Practice Address - Phone:813-754-1496
Practice Address - Fax:813-754-2553
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant