Individual
SIKAWAT THANAVIRATANANICH
Active
Individual
SIKAWAT THANAVIRATANANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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