Individual
DR. RATTANAPORN MAHATANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
248 PLEASANT ST STE 103, CONCORD, NH 03301-2588
(603) 230-1939
(603) 227-7568
Mailing address
248 PLEASANT ST STE 103, CONCORD, NH 03301-2588
(603) 230-1939
(603) 227-7568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24186
NH
207R00000X
Internal Medicine Physician
MD19500
ME
207RI0200X
Infectious Disease Physician
Primary
24186
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629380159
—
ME
Enumeration date
07/13/2010
Last updated
09/28/2023
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