Evergreen Wellness Center
Urgent Care
Dr. Natalie K. Thompson
Emergency Medicine
(202) 123-4563
Patient Name: Raj Chourasiya
Patient Date of Birth: 02/29/2000
Date of Consult: 07/16/2025
To Whom it May Concern;
This is to certify that I have evaluated Raj Chourasiya, and I recommend that they be excused from attending work on 07/16/2025, 07/17/2025, 07/18/2025, and 07/19/2025 due to an illness. Based on the current assessment, Raj is cleared to return to work on 07/20/2025.
For further questions, please contact my office.
sincerely,
NT
Natalie K. Thompson, M.D.
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Physician Licensing Details
State Medical License:
OP656987850
National Provider Identifier:
14678563858
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Document Ref: DD5KY-GMQRR-6BLTP-U8AXJ-YEAGX
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