Praserthdam, Widchanun

Praserthdam, Widchanun is an individual health care provider with primary practice located at 4860 Y St Suite 2820, Sacramento CA 95817-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Praserthdam, Widchanun can be contacted via phone (916) 734-3764.

Contact Information

Primary practice address
4860 Y St Suite 2820 Sacramento CA 95817-2307
Fax: (916) 734-8394
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A072984 California

Profile Details

NPI number 1457333478
LBN Legal business name Praserthdam, Widchanun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 9th, 2021 - about 5 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.

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