Basic Information
Provider Information
NPI: 1346246915
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POUNDS
FirstName: THOMAS
MiddleName: RICHARD
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10470 OLD PLACERVILLE RD
Address2: SUITE 100
City: SACRAMENTO
State: CA
PostalCode: 958272539
CountryCode: US
TelephoneNumber: 8004700071
FaxNumber:  
Practice Location
Address1: 2801 K ST
Address2: SUITE 502
City: SACRAMENTO
State: CA
PostalCode: 958165120
CountryCode: US
TelephoneNumber: 8775150053
FaxNumber: 9164546926
Other Information
ProviderEnumerationDate: 06/28/2005
LastUpdateDate: 07/22/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207U00000XC40653CAY Allopathic & Osteopathic PhysiciansNuclear Medicine 
207UN0901XC40653CAN Allopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
207UN0902XC40653CAN Allopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
207UN0903XC40653CAN Allopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine

No ID Information.


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