Dr. Tom Prakash Theruvath
Surgeon Cardiothoracic Vascular Surgeon
301 Hawthorne Lane Suite 200
Charlotte
, North Carolina 28204-2467
Dr. Tom Prakash Theruvath
Surgeon Cardiothoracic Vascular Surgeon
301 Hawthorne Lane Suite 200
Charlotte
, North Carolina 28204-2467
(704) 316-5101
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Tom Prakash Theruvath
- Po Box 60447
- Charlotte, NC
- Zip : 28260-0447
- Fax : (704) 316-5101
- Phone : (704) 316-5100
Second Address
- Dr. Tom Prakash Theruvath
- 301 Hawthorne Lane Suite 200
- Charlotte, NC
- Zip : 28204-2467
- Fax : (704) 316-5101
- Phone : (704) 316-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2015-01140 | NC |
| N | 208600000X | Surgeon | 2015-01140 | NC |
| N | 208200000X | Surgeon | LL 30838 | SC |
| N | 208600000X | Surgeon | LL 30838 | SC |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2015-01140 | NC |
National Provider Identifier
| NPI | 1083875058 |
|---|---|
| Provider Name | Dr. Tom Prakash Theruvath |
| First Address | Charlotte, NC 28260-0447 |
| Second Address | Charlotte, NC 28204-2467 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2008 |
| Last Update Date | 25/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.