Ratanawongsa, Neda

Ratanawongsa, Neda is an individual health care provider with primary practice located at 1001 Potrero Ave 1M General Medicine Clinic, San Francisco CA 94110-3518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ratanawongsa, Neda can be contacted via phone (410) 206-8494.

Contact Information

Primary practice address
1001 Potrero Ave 1M General Medicine Clinic San Francisco CA 94110-3518
Phone: (410) 206-8494
Fax: (415) 206-6115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A76954 California

Profile Details

NPI number 1598769002
LBN Legal business name Ratanawongsa, Neda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 1st, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598769002 NPPES
Maryland Other D0061811 MARYLAND LICENSE
Maryland Other A76954 MARYLAND LICENSE

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