Tananusont, Weerawat

Tananusont, Weerawat is an individual health care provider with primary practice located at 133 Route 3 , Dededo GU 96929-6911. He 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 / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Tananusont, Weerawat can be contacted via phone (671) 645-5500.

Contact Information

Primary practice address
133 Route 3 Dededo GU 96929-6911
Phone: (671) 645-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-2047 Guam
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11942 North Dakota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-2047 Guam

Profile Details

NPI number 1720226202
LBN Legal business name Tananusont, Weerawat
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2009
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720226202 NPPES
North Dakota MEDICAID 16101

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