Individual
WORAWITH TECHATHAVEEWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 477-6572
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3292
NV
Other
Enumeration date
04/12/2020
Last updated
07/24/2023
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