Individual
PRATAN VATHESATOGKIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 WARING CT, SUITE D, OCEANSIDE, CA 92056-4510
(760) 630-4833
(760) 758-1980
Mailing address
3231 WARING CT, SUITE D, OCEANSIDE, CA 92056-4510
(760) 630-4833
(760) 758-1980
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A69561
CA
207RP1001X
Pulmonary Disease Physician
Primary
A69561
CA
Other
Enumeration date
03/06/2007
Last updated
09/28/2009
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