Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD14531 | RI |
NPI | 1043447097 |
---|---|
Provider Name | Miss Vorawan Ummaritchot |
First Address | Providence, RI 02906-2740 |
Second Address | Providence, RI 02906-2740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 30/09/2014 |