Individual
SIKAWAT THANAVIRATANANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD-45317
IA
2084N0600X
Clinical Neurophysiology Physician
MD-45317
IA
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
MD-45317
IA
Other
Enumeration date
07/08/2011
Last updated
07/18/2018
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