Provider Demographics
NPI:1609951516
Name:THOMAS, ASHA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHA
Other - Middle Name:
Other - Last Name:THOMAS-GEEVARGHESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:2435 WEST BELVEDERE AVENUE
Practice Address - Street 2:SINAI HOSPITAL OF BALTIMORE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5271
Practice Address - Country:US
Practice Address - Phone:410-601-6840
Practice Address - Fax:410-601-5638
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035049207RE0101X
MDD61703207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD422300400Medicaid
MD422300400Medicaid
MD167332ZAC3Medicare PIN
DCH92480Medicare UPIN
MDS589P499Medicare PIN