Provider Demographics
NPI:1548239270
Name:THOMAS, SANIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SANIL
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9116 SW 51ST RD
Mailing Address - Street 2:STE A-103
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-8167
Mailing Address - Country:US
Mailing Address - Phone:352-375-0008
Mailing Address - Fax:352-375-0810
Practice Address - Street 1:9116 SW 51ST RD
Practice Address - Street 2:STE A-103
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-8167
Practice Address - Country:US
Practice Address - Phone:352-375-0008
Practice Address - Fax:352-375-0810
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME100089207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G81051Medicare UPIN