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Joshua Mamoottil Thomas

Student in an Organized Health Care Education/Training Program in Mesa, AZ. Individual provider (NPI-1).

NPI number1477463586
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1477463586
Entity type
Individual (NPI-1)
Name
Joshua Mamoottil Thomas
Sex
Male
Sole proprietor
No
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Phone 480-248-8100

Mailing address

5835 E Still Cir
Mesa, AZ 85206-3618

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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