Provider Demographics
NPI:1871510537
Name:MEACHAM, THOMAS DOWNING (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DOWNING
Last Name:MEACHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22525 SE 64TH PL STE 140
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5386
Mailing Address - Country:US
Mailing Address - Phone:425-654-5433
Mailing Address - Fax:
Practice Address - Street 1:22525 SE 64TH PL STE 140
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5386
Practice Address - Country:US
Practice Address - Phone:425-654-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0451502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry