Provider Demographics
NPI:1053800144
Name:THOMAS, LITTY (MD)
Entity type:Individual
Prefix:DR
First Name:LITTY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RENAL CARE COUNSULTANTS
Mailing Address - Street 2:760 GOLF VIEW DRIVE UNIT 200
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504
Mailing Address - Country:US
Mailing Address - Phone:541-618-4400
Mailing Address - Fax:
Practice Address - Street 1:RENAL CARE COUNSULTANTS
Practice Address - Street 2:760 GOLF VIEW DRIVE UNIT 200
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504
Practice Address - Country:US
Practice Address - Phone:541-618-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD214149174400000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist