Provider Demographics
NPI:1952452799
Name:SOKOL, THOMAS P (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:SOKOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8737 BEVERLY BLVD
Mailing Address - Street 2:#402
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-854-3580
Mailing Address - Fax:310-659-5830
Practice Address - Street 1:8737 BEVERLY BLVD
Practice Address - Street 2:#402
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1828
Practice Address - Country:US
Practice Address - Phone:310-854-3580
Practice Address - Fax:310-659-5830
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG454890208600000X
CAG45890208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92604Medicare UPIN
CAG45890Medicare ID - Type Unspecified