Provider Demographics
NPI:1396713137
Name:HOWARD, THOMAS WILLIAM II (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WILLIAM
Last Name:HOWARD
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:4610 KANAWHA AVE SW
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1367
Mailing Address - Country:US
Mailing Address - Phone:304-720-8701
Mailing Address - Fax:304-720-8702
Practice Address - Street 1:4610 KANAWHA AVE SW
Practice Address - Street 2:SUITE 301
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1367
Practice Address - Country:US
Practice Address - Phone:304-720-8701
Practice Address - Fax:304-720-8702
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2017-03-07
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Provider Licenses
StateLicense IDTaxonomies
WV11927207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3910000444Medicaid
WV3910000444Medicaid
WVB42757Medicare UPIN
WV0598020001Medicare NSC
B42757Medicare UPIN