Individual
PAUL W WATANAKUNAKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 OHLTOWN RD, YOUNGSTOWN, OH 44515-2331
(330) 797-9705
(330) 270-5997
Mailing address
20 OHLTOWN RD, YOUNGSTOWN, OH 44515-2331
(330) 797-9705
(330) 270-5997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076990
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280876
ANTHEM BC/BS
OH
01
—
001467940
HIGHMARK BC/BS PA
OH
01
—
225394
HEALTH ASSURANCE
OH
05
—
2300585
—
OH
01
—
341341025030
CARESOURCE
OH
01
—
407998
UNITED HEALTHCARE
OH
01
—
P00013192
RAILROAD MEDICARE
OH
01
—
Q034637
HOMETOWN
OH
01
—
Z76990
SUMMACARE
OH
Enumeration date
07/03/2006
Last updated
04/20/2008
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