Provider Demographics
NPI:1841287026
Name:OGARA, THOMAS D (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:D
Last Name:OGARA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:601 RALSTON ST
Mailing Address - Street 2:#100
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4436
Mailing Address - Country:US
Mailing Address - Phone:775-786-1110
Mailing Address - Fax:775-788-8075
Practice Address - Street 1:601 RALSTON ST
Practice Address - Street 2:#100
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4436
Practice Address - Country:US
Practice Address - Phone:775-786-1110
Practice Address - Fax:775-788-8075
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NV5533207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C96407Medicare UPIN
NV33583Medicare ID - Type Unspecified