Provider Demographics
NPI:1720045206
Name:HOPKINS, THOMAS W (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:W
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2235 DOUGLAS BLVD
Mailing Address - Street 2:STE 510
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4266
Mailing Address - Country:US
Mailing Address - Phone:916-446-4449
Mailing Address - Fax:916-446-9370
Practice Address - Street 1:2235 DOUGLAS BLVD
Practice Address - Street 2:STE 510
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4266
Practice Address - Country:US
Practice Address - Phone:916-446-4449
Practice Address - Fax:916-446-9370
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2018-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG81916207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG03244Medicare UPIN