Individual
DR. THIRAVAT CHOOJITAROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 VETERANS BLVD, SUITE B, DENHAM SPRINGS, LA 70726-4726
(225) 665-4554
(225) 665-6995
Mailing address
311 VETERANS BLVD, SUITE B, DENHAM SPRINGS, LA 70726-4726
(225) 665-4554
(225) 665-6995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
021846
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681580
—
LA
Enumeration date
11/23/2005
Last updated
02/10/2021
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