Individual
DIANA ATHONVARANGKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092, NEW HAVEN, CT 06510-3221
(203) 688-5555
Mailing address
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092, NEW HAVEN, CT 06510-3221
(203) 688-5555
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
69446
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
01/27/2023
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