Dr. Giddel G A Thom
MD | Pediatric Hematology-Oncology | Male
Dr. Giddel G A Thom, MD is a Portales, New Mexico based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Giddel G A Thom is
1515 W Fir St, Portales, New Mexico - 88130-5703. He can be contacted on phone at
575-356-6695 and fax number 575-356-5948.
Dr. Giddel G A Thom is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Giddel G A Thom is
1700078375 which was assigned by NPPES on 16 Aug, 2007 and it was last updated on 07 May, 2018.
Dr. Giddel G A Thom license number is
MD2009-0687 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in New Mexico.
Dr. Giddel G A Thom is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Giddel G A Thom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Giddel G A Thom |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Giddel G A Thom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1515 W Fir St
Portales, NM, 88130-5703
United States |
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| Phone Number : | 575-356-6695 |
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| Fax Number : | 575-356-5948 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700078375 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2007 |
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| Last Updated On : | 07 May, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Giddel G A Thom are as mentioned. Primary taxonomy code for Dr. Giddel G A Thom, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | MD2009-0687 | NM |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | ME978766 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Giddel G A Thom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ME98766 | Other | FL | MEDICAL LICENCE |
| 73252875 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 843
Portales, NM, 88130-0843
United States |
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| Phone Number : | 575-356-6695 |
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| Fax Number : | 575-356-5948 |
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Business Location:
Patients can refer following map for directions to
Dr. Giddel G A Thom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.