Individual
CHANTIP THARANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5320 S RAINBOW BLVD STE 182, LAS VEGAS, NV 89118-1896
(702) 304-5722
(702) 212-4993
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 215-3346
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23219
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376104547
—
NV
01
—
23219
LICENSE
NV
Enumeration date
06/27/2019
Last updated
10/13/2025
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