Individual
AINEL BOONPRAKONG SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 834-2767
(919) 834-0234
Mailing address
1121 SITUS CT, SUITE 200, RALEIGH, NC 27606-4165
(919) 834-2767
(919) 834-0234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101253424
VA
2085R0202X
Diagnostic Radiology Physician
Primary
2014-02400
NC
2085R0202X
Diagnostic Radiology Physician
ME105062
FL
Other
Enumeration date
05/15/2008
Last updated
06/19/2015
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