Individual
PATANIT WATANABOONYAKHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
831 S BROADWAY, MINOT, ND 58701-4636
(701) 857-3535
(701) 857-5171
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
9232
ND
207RX0202X
Medical Oncology Physician
Primary
9232
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12079
—
ND
Enumeration date
11/21/2006
Last updated
12/27/2023
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