Individual
VORAVIT RATANATHARATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
4100 JOHN R ST, HWCRC 4TH FL, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8767
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(800) 527-6266
(313) 576-8767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301033221
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301033221
MI
Other
Enumeration date
06/01/2006
Last updated
09/08/2016
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