person
Thavinsakdi Viravathana, MD
Therapeutic Radiology Physician in Hemet, California
NPI 1720022965

Thavinsakdi Viravathana is a Therapeutic Radiology Physician based in Hemet, CA and is specialized in Therapeutic Radiology. Thavinsakdi Viravathana practices in Hemet, CA and has the professional credentials of MD. The NPI Number for Thavinsakdi Viravathana is 1720022965 and holds a License No. A34942 (California).

The current practice location address for Thavinsakdi Viravathana is 890 W Stetson Ave Ste B, Hemet, CA and can be reached out via phone at 951-537-6002.

Location: 890 W Stetson Ave Ste B, Hemet, CA, 92543-7311
person
Provider Profile Details
NPI Number
1720022965
Provider Name
Thavinsakdi Viravathana
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
890 W Stetson Ave Ste B, Hemet, CA, 92543-7311
Phone Number
951-537-6002
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A349420 05 CA
00A349421 01 MEDICARE PTAN
300127206 01 CA RAILROAD
00A349422 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
890 W Stetson Ave Ste B
City
State
Zip
92543-7311
Phone Number
951-537-6002
Fax Number
person
Provider Business Mailing Address Details
Address
890 W Stetson Ave Ste B
City
State
Zip
92543-7311
Phone Number
951-537-6002
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
A34942 (California)
Definition
Definition to come...
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