Individual
MISS PRAPAIPAN PUTTHAPIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 344-9848
(804) 554-5395
Mailing address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 344-9848
(804) 554-5395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276459
VA
Other
Enumeration date
06/19/2017
Last updated
06/27/2023
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