NPI 1013380633

Irene Thomas Thayil, PAC

Practitioner Physician Assistant Greensboro, NC

Practice location

Address: 501 N Elam Ave, Greensboro, NC 27403-1118
Phone: (336) 832-1100
Mailing address: PO Box 4439, Houston, TX 77210-4439

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1013380633
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2015
Record last updated: 25 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.