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Individual
SIRINART SIRINVARAVONG
Active
Individual
SIRINART SIRINVARAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34322
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34322
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343220
—
SC
Enumeration date
04/08/2009
Last updated
02/05/2013
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