person
Wiriyaporn Ridtitid
Specialist in Indianapolis, Indiana
NPI 1801149687

Wiriyaporn Ridtitid is a Specialist based in Indianapolis, IN. Wiriyaporn Ridtitid practices in Indianapolis, IN. The NPI Number for Wiriyaporn Ridtitid is 1801149687 and holds a License No. 11016940A (Indiana).

The current practice location address for Wiriyaporn Ridtitid is 550 University Blvd # Uh1634, Indianapolis, IN and can be reached out via phone at 317-944-5000.

Location: 550 University Blvd # Uh1634, Indianapolis, IN, 46202-3262
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Provider Profile Details
NPI Number
1801149687
Provider Name
Wiriyaporn Ridtitid
Credential
Provider Entity Type
Individual
Gender
Female
Address
550 University Blvd # Uh1634, Indianapolis, IN, 46202-3262
Phone Number
317-944-5000
Fax Number
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11016940A 01 IN MEDICAL RESIDENCY PERMIT
institution
Provider Business Practice Location Address Details
Address
550 University Blvd # Uh1634
City
State
Zip
46202-5149
Phone Number
317-944-5000
Fax Number
person
Provider Business Mailing Address Details
Address
550 University Blvd # Uh1634
City
State
Zip
46202-5149
Phone Number
317-944-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
11016940A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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