Provider Demographics
NPI:1770521015
Name:DOWHAN, THOMAS PETER (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:PETER
Last Name:DOWHAN
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 1:18 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:ST ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-1509
Mailing Address - Country:US
Mailing Address - Phone:802-524-7549
Mailing Address - Fax:802-527-0797
Practice Address - Street 1:156 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ST ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1561
Practice Address - Country:US
Practice Address - Phone:802-527-7787
Practice Address - Fax:802-527-0797
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420009993207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN2463Medicaid
VT1770521015OtherNPI
VT180041339OtherRAILROAD MEDICARE
VTF31417Medicare UPIN
VTVN2463Medicare ID - Type Unspecified