Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | D0020196 | MD |
NPI | 1053311811 |
---|---|
Provider Name | Dr. Pimolvarn Limpuangthip |
First Address | Greenbelt, MD 20770-3300 |
Second Address | Greenbelt, MD 20770-3300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 18/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93995 | (02) |