Suravi Gongulee Thomas, MPH, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

173587 Issued in CA

Practice address

401 Crescent CT Apt 4309
San Francisco, CA 94134-3338

Phone

(415) 609-4630

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: suravi.thomas.4@17371.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1407352198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E PARKCENTER CIR N",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082869",
            "telephone_number": "909-403-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CRESCENT CT APT 4309",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343338",
            "telephone_number": "415-609-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SURAVI",
        "middle_name": "GONGULEE",
        "credential": "MPH, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "173587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Cleveland Thomas, CAS I
• Paul William Thomas, PH.D.
• Roy Cannon Thomas, PH.D.
• Sarah L Thomas, OTR
• Sherina Michelle Thomas
• Susan M Thomas, RN
• Tamara Nachelle Thomas
• Traci Thomas, MPA, PA-C
• William Albert Thomas Sr., PH.D.
• Zina Zenobia Thomas

• Geriatric Medicine (Internal Medicine) Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.