Individual
DR. PAUL THANANOPAVARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MANNING DR, UNC HOSPITALS, DEPARTMENT OF PM&R, CHAPEL HILL, NC 27514-4220
(919) 966-8812
Mailing address
N1181 MEMORIAL HOSPITAL, CAMPUS BOX 7200, CHAPEL HILL, NC 27514-7200
(919) 966-8812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-00479
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008-00479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909192
—
NC
Enumeration date
08/22/2007
Last updated
04/07/2021
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