Provider Demographics
NPI:1861423337
Name:THOMAS, KAVITA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3684 TAMPA ROAD
Mailing Address - Street 2:SUITE 3 WOODLANDS MEDICAL CTR.
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677
Mailing Address - Country:US
Mailing Address - Phone:813-475-6145
Mailing Address - Fax:813-855-2809
Practice Address - Street 1:3684 TAMPA ROAD
Practice Address - Street 2:SUITE 3 WOODLANDS MEDICAL CTR.
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677
Practice Address - Country:US
Practice Address - Phone:813-818-4516
Practice Address - Fax:813-855-2809
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME86833207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI38335Medicare UPIN
FLK5778Medicare ID - Type Unspecified