Individual
PETEY LAOHABURANAKIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
2011 U ST, SACRAMENTO, CA 95818-1771
(541) 531-6227
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A72406
CA
207RP1001X
Pulmonary Disease Physician
MD25000
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275120
—
OR
Enumeration date
02/23/2007
Last updated
01/04/2022
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