Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 25492 | ZZ |
NPI | 1285170639 |
---|---|
Provider Name | Dr. Nipasiri Voraphani |
First Address | Pittsburgh, PA 15218-2038 |
Second Address | Atlanta, GA 30322-1062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2017 |
Last Update Date | 10/01/2017 |