Kanomata, Thomas I

Kanomata, Thomas I is an individual health care provider with primary practice located at 280 Sierra College Dr Suite 120, Grass Valley CA 95945-5763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kanomata, Thomas I can be contacted via phone (530) 477-4480.

Contact Information

Primary practice address
280 Sierra College Dr Suite 120 Grass Valley CA 95945-5763
Phone: (530) 477-4480
Fax: (530) 274-7532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 66689 Georgia

Profile Details

NPI number 1659336543
LBN Legal business name Kanomata, Thomas I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659336543 NPPES
Georgia MEDICAID 003116311A

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