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PATHOM THAVARADHARA MD PA
NPI 1861664435
Internal Medicine - Pulmonary Disease in Pampa, TX

Active since March 24, 2008
100 W 30TH AVE STE 102, PAMPA, TX 79065(806) 669-2900(806) 669-2031 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathom Thavaradhara Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHOM THAVARADHARA MD PA (NPI 1861664435) is a healthcare organization registered as a pulmonary disease in Pampa, Texas and active in the NPI registry since March 2008. The organization lists Pathom Thavaradhara, President, as its authorized official.

NPPES Registry Identity

NPI1861664435
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePATHOM THAVARADHARA MD PA
Location Address100 W 30TH AVE STE 102Pampa, TX 79065-2814
Mailing Address100 W 30th Ave Ste 102Pampa, TX 79065-2814 · (806) 669-2900 · Fax (806) 669-2031
Phone(806) 669-2900
Fax(806) 669-2031
Organization SubpartNo
Authorized OfficialPathom ThavaradharaPresident · (806) 669-2900
Enumeration DateMarch 24, 2008
Last NPPES UpdateJuly 25, 2008
✔ NPI 1861664435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · L8581
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
100 W 30TH AVE STE 102, Pampa, TX 79065
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Other Identifiers 4

Medicare PIN00864WTX
Other0012LMTX · Blue Cross/blue Shield
Medicaid167272701TX
OtherDD1161TX · Railroad Medicare, Palmetto Gba

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHOM THAVARADHARA MD
Internal Medicine (Pulmonary Disease)
100 W 30TH AVE STE 102
PAMPA, TX 79065
Gray County (806) 669-2900
MALYSSA STARR LMSW
Social Worker
100 W 30TH AVE STE 102
PAMPA, TX 79065
Gray County (806) 663-5828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathom Thavaradhara MD PA's NPI number?

The NPI number for Pathom Thavaradhara MD PA is 1861664435. It was assigned to this organization in the NPPES registry on March 24, 2008.

Where is Pathom Thavaradhara MD PA located?

Pathom Thavaradhara MD PA is located at 100 W 30th Ave Ste 102, Pampa, TX 79065. The listed phone number is (806) 669-2900.

What is Pathom Thavaradhara MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Pathom Thavaradhara MD PA was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.