Individual
DR. NUMTHIP CHITRAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
1066 FORT SALONGA RD, NORTHPORT, NY 11768-1321
(216) 269-5576
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
318516
NY
2084N0400X
Neurology Physician
D0083573
MD
2084N0400X
Neurology Physician
MD61417991
WA
2084N0400X
Neurology Physician
U7402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073761789
—
MD
05
—
1073761789
—
MO
Enumeration date
09/05/2008
Last updated
11/14/2024
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