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Alisa Thavikulwat
Ophthalmology Physician in Glenn Dale, Maryland
NPI 1265827745

Alisa Thavikulwat is a Ophthalmology Physician based in Chicago, MD. Alisa Thavikulwat practices in Glenn Dale, MD. The NPI Number for Alisa Thavikulwat is 1265827745 and holds a License No. D0087217 (Maryland).

The current practice location address for Alisa Thavikulwat is 12150 Annapolis Rd Ste 111, Glenn Dale, MD and can be reached out via phone at 301-779-0844.

Location: 12150 Annapolis Rd Ste 111, Glenn Dale, MD, 60612-7242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265827745
Provider Name
Alisa Thavikulwat
Credential
Provider Entity Type
Individual
Gender
Female
Address
12150 Annapolis Rd Ste 111, Glenn Dale, MD, 60612-7242
Phone Number
301-779-0844
Fax Number
Provider Enumeration Date
04/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12150 Annapolis Rd Ste 111
City
Glenn Dale
State
Maryland
Zip
20769-9183
Phone Number
301-779-0844
Fax Number
person
Provider Business Mailing Address Details
Address
12150 Annapolis Rd Ste 111
City
Glenn Dale
State
Maryland
Zip
20769-9183
Phone Number
301-779-0844
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
D0087217 (Maryland)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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