Individual
PARIWAT THAISETTHAWATKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-8600
(402) 559-5010
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-8600
(402) 559-5010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22652
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557573
—
NE
Enumeration date
05/11/2006
Last updated
06/28/2011
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