Tanawuttiwat, Tanyanan

Tanawuttiwat, Tanyanan is an individual health care provider with primary practice located at 1701 N Senate Blvd Heart Station A1089, Indianapolis IN 46202-1239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Tanawuttiwat, Tanyanan can be contacted via phone (317) 962-8447.

Contact Information

Primary practice address
1701 N Senate Blvd Heart Station A1089 Indianapolis IN 46202-1239
Phone: (317) 962-8447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23750 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01083239A Indiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 312475 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01083239A Indiana

Profile Details

NPI number 1992980767
LBN Legal business name Tanawuttiwat, Tanyanan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2007
Last updated Nov 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992980767 NPPES
Mississippi MEDICAID 07278029
Mississippi Other 01083239A
Mississippi Other P01590534

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