Provider Demographics
NPI:1245316314
Name:THUMA, NATHAN H (MD)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:H
Last Name:THUMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1030 MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-2056
Mailing Address - Country:US
Mailing Address - Phone:707-963-3696
Mailing Address - Fax:707-963-3697
Practice Address - Street 1:295 PINE BREEZE DR
Practice Address - Street 2:
Practice Address - City:ANGWIN
Practice Address - State:CA
Practice Address - Zip Code:94508-9620
Practice Address - Country:US
Practice Address - Phone:707-965-2461
Practice Address - Fax:707-965-2700
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG584512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G584512Medicaid
CA00G584510Medicaid
CAA93511Medicare UPIN
CA00G584510Medicaid