Individual
DR. WATCHARASARN RATTANANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S GIBSON RD APT 1208, HENDERSON, NV 89012-2660
(615) 345-5400
(888) 468-6603
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400
(888) 468-6603
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
17053
NV
2084N0400X
Neurology Physician
MD2019-0793
NM
2084N0600X
Clinical Neurophysiology Physician
Primary
17053
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2019-0793
NEW MEXICO MEDICAL BOARD
NM
Enumeration date
07/25/2009
Last updated
09/01/2020
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