Rattananan, Watcharasarn
Rattananan, Watcharasarn is an individual health care provider with primary practice located at 201 S Gibson Rd Apt 1208 , Henderson NV 89012-2660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Rattananan, Watcharasarn can be contacted via phone (615) 345-5400.Contact Information
Primary practice address
201 S Gibson Rd Apt 1208
Henderson NV 89012-2660
Phone: (615) 345-5400
Fax: (888) 468-6603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD2019-0793 | New Mexico |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17053 | Nevada |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 17053 | Nevada |
Profile Details
| NPI number | 1760612659 |
|---|---|
| LBN Legal business name | Rattananan, Watcharasarn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2009 |
| Last updated | Sep 1st, 2020 - about 6 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 | 1760612659 | NPPES |
| New Mexico | Other | MD2019-0793 | NEW MEXICO MEDICAL BOARD |
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