Basic Information
Provider Information
NPI: 1346568128
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THOMAS
FirstName: SARUN
MiddleName: VARUGHESE
NamePrefix: MR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 353 EAST 17TH STREET
Address2: 2ND FLOOR ROOM 223
City: NEW YORK
State: NY
PostalCode: 10003
CountryCode: US
TelephoneNumber: 2124203743
FaxNumber: 6104476373
Practice Location
Address1: 353 EAST 17TH STREET
Address2: 2ND FLOOR ROOM 223
City: NEW YORK
State: NY
PostalCode: 10003
CountryCode: US
TelephoneNumber: 2124203743
FaxNumber: 6104476373
Other Information
ProviderEnumerationDate: 05/04/2010
LastUpdateDate: 03/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XOT013367PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RP1001X283304NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X283304NYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


Home