Mahatanan, Rattanaporn
Mahatanan, Rattanaporn is an individual health care provider with primary practice located at 248 Pleasant St Ste 103 , Concord NH 03301-2588. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mahatanan, Rattanaporn can be contacted via phone (603) 230-1939.Contact Information
Primary practice address
248 Pleasant St Ste 103
Concord NH 03301-2588
Phone: (603) 230-1939
Fax: (603) 227-7568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24186 | New Hampshire |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19500 | Maine |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Hampshire | |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 24186 | New Hampshire |
Profile Details
| NPI number | 1629380159 |
|---|---|
| LBN Legal business name | Mahatanan, Rattanaporn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2010 |
| Last updated | Sep 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629380159 | NPPES |
| Maine | MEDICAID | 1629380159 |
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