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KORATHU THOMAS MD NPI 1376565390


NPI Information

NPI: 1376565390
Provider Name: KORATHU THOMAS, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
2222 W DIVISION ST
STE 210
CHICAGO, IL
ZIP 60622
Phone: (773) 227-8870
Get Directions

Korathu Thomas, MD is a hematology and oncology internal medicine in Chicago, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Korathu Thomas, MD NPI is 1376565390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2222 W DIVISION ST
STE 210
CHICAGO, IL
ZIP 60622
Phone: (773) 227-8870
Fax: (312) 770-3208

The enumeration date for this NPI number is 7/25/2006 and was last updated on 5/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology036053507ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036053507MEDICAIDILLINOIS
2334981MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3C41056MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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