Thysseril, Thomas

Thysseril, Thomas is an individual health care provider with primary practice located at 18051 Jefferson Park Rd Ste 106 , Cleveland OH 44130-3460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Thysseril, Thomas can be contacted via phone (440) 816-5790.

Contact Information

Primary practice address
18051 Jefferson Park Rd Ste 106 Cleveland OH 44130-3460
Phone: (440) 816-5790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-068545 Ohio

Profile Details

NPI number 1699751909
LBN Legal business name Thysseril, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 23rd, 2015 - about 11 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 1699751909 NPPES
Ohio MEDICAID 0298191
Ohio Other 260032152

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