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Tosaporn Krasaeath, MD
Diagnostic Radiology Physician in Vidalia, Georgia
NPI 1366424640

Tosaporn Krasaeath is a Diagnostic Radiology Physician based in Moultrie, GA and is specialized in Diagnostic Radiology. Tosaporn Krasaeath practices in Vidalia, GA and has the professional credentials of MD. The NPI Number for Tosaporn Krasaeath is 1366424640 and holds a License No. 026884 (Georgia).

The current practice location address for Tosaporn Krasaeath is 1703 Meadows Ln, Vidalia, GA and can be reached out via phone at 800-382-4023.

Location: 1703 Meadows Ln, Vidalia, GA, 31776-2049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366424640
Provider Name
Tosaporn Krasaeath
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1703 Meadows Ln, Vidalia, GA, 31776-2049
Phone Number
800-382-4023
Fax Number
Provider Enumeration Date
11/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000292289C 05 GA
institution
Provider Business Practice Location Address Details
Address
1703 Meadows Ln
City
Vidalia
State
Georgia
Zip
30474-8915
Phone Number
800-382-4023
Fax Number
person
Provider Business Mailing Address Details
Address
1703 Meadows Ln
City
Vidalia
State
Georgia
Zip
30474-8915
Phone Number
800-382-4023
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
026884 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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