Thomas, Aby

Thomas, Aby is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Thomas, Aby can be contacted via phone (601) 984-1000.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Phone: (601) 984-1000
Fax: (601) 815-0434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 972-L Mississippi

Profile Details

NPI number 1356861140
LBN Legal business name Thomas, Aby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Apr 6th, 2022 - about 4 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 1356861140 NPPES
Mississippi MEDICAID 03954369

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