Provider Demographics
NPI:1679137764
Name:THARMATHURAI, ERIC LAURON (MD)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:LAURON
Last Name:THARMATHURAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7309 SENECA RD N STE 109
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-9691
Mailing Address - Country:US
Mailing Address - Phone:607-385-3700
Mailing Address - Fax:
Practice Address - Street 1:7309 SENECA RD N STE 109
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-9691
Practice Address - Country:US
Practice Address - Phone:607-385-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2023-06-22
Deactivation Date:2019-12-09
Deactivation Code:
Reactivation Date:2019-12-31
Provider Licenses
StateLicense IDTaxonomies
WI80092-20207RG0300X
NY322331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine