Individual
VANEERAT RATANATHARATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3577 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 551-5490
Mailing address
130 TOWN CENTER DR, STE. 203, TROY, MI 48084-1744
(248) 585-8233
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301042862
MI
2085R0001X
Radiation Oncology Physician
E-2773
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142211001
—
AR
01
—
18879000003
QUALCHOICE
AR
01
—
300117802
RAILROAD MEDICARE1
AR
01
—
5L693
BCBS
AR
Enumeration date
10/13/2006
Last updated
07/30/2015
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