Individual
DR. PIYAPORN APIVATANAGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C1-0008359
DE
207RN0300X
Nephrology Physician
D0073587
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143898
—
NJ
05
—
1477766707
—
DE
Enumeration date
05/07/2007
Last updated
06/17/2021
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