Individual
DR. SUPAWAT RATANAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-5252
(434) 200-2851
Mailing address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-5252
(434) 200-2851
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101281156
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101281156
VA
Other
Enumeration date
06/21/2011
Last updated
06/27/2024
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