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Individual
DR. PRAMOTE ANANTACHAI
Active
Individual
DR. PRAMOTE ANANTACHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036050261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050261
—
IL
01
—
0663336
UMWA HR FUNDS
—
01
—
793113283
RAILROAD MEDICARE
—
Enumeration date
01/23/2007
Last updated
05/30/2018
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