Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0080596 | MD |
NPI | 1033498456 |
---|---|
Provider Name | Anna Paul Thottan |
First Address | Brighton, MA 02135-2851 |
Second Address | Hollywood, MD 20636-4871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2011 |
Last Update Date | 06/12/2016 |