Provider Demographics
NPI:1801070750
Name:THOMAS, ANNA KALATHIL (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KALATHIL
Last Name:THOMAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 776879
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6879
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:231 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1821
Practice Address - Country:US
Practice Address - Phone:502-629-7661
Practice Address - Fax:502-629-5309
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2022-01-03
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Provider Licenses
StateLicense IDTaxonomies
KY532322085P0229X
TN530192085P0229X, 2085R0202X
CAA867012085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology