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Individual
PHORNPHAT RASAMIMARI
Active
Individual
PHORNPHAT RASAMIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-098723
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01060038A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
036-098723
IL
208M00000X
Hospitalist Physician
01060038A
IN
Other
Enumeration date
12/27/2005
Last updated
04/28/2021
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