Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GIDDEL G A THOM, MD
ActiveDR. GIDDEL G A THOM, MD is a Pediatric Hematology-Oncology healthcare provider located in PORTALES, New Mexico. NPI 1700078375 is currently active in the NPPES registry. Verify at CMS.
Pediatric Hematology-Oncology · PORTALES, NM
Registration Details
- NPI Number
- 1700078375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2007 (19.025823498397 yrs)
- Last Updated
- May 7, 2018
- Licenses
-
ME978766 (FL)MD2009-0687 (NM)
Practice Information
- Address
-
1515 W FIR STPORTALES, NM, 881305703Browse NM providers · Browse ZIP 88130
- Phone
- 5753566695
- Fax
- 5753565948
- Primary Specialty
-
Pediatric Hematology-Oncology
2080P0207X
- Additional Specialty
- Pediatric Hematology-Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.