Individual
PAWARID TECHATHAVEEWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2108
Mailing address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
008536
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
008536
AZ
Other
Enumeration date
04/08/2016
Last updated
01/15/2022
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