| Mariam R Thomas, MD | |
|
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
| (310) 423-6500 | |
| Not Available |
| Full Name | Mariam R Thomas |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942275250 | NPI | - | NPPES |
| 2005029373 | Other | MO | STATE MEDICAL LICENSE |
| 00A938680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A93868 (California) | Primary |
| Entity Name | Cedars-sinai Imaging Medical Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922135359 PECOS PAC ID: 4981518313 Enrollment ID: O20031118001070 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam R Thomas, MD 17435 Tuscan Dr, Granada Hills, CA 91344-1056 Ph: (314) 913-3590 | Mariam R Thomas, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-6500 |
Dr. Michael Ellerin David, MD Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd # M-335, West Hollywood, CA 90048 Phone: 310-423-3095 | |
Sudhir Kunchala, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 | |
Dr. Kevin Frederick Seals, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 | |
Eric M Chung, Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8030 Fax: 310-659-3332 | |
Dr. Julie Kau Jang, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4208 | |
Dr. Evan C Norris, MD Radiology Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 | |
Dr. Michael D Katz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-6500 |