Individual
PAWITTA KASEMSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1052
(505) 727-3500
(505) 727-3516
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97-84
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q4015
—
NM
Enumeration date
07/08/2006
Last updated
04/09/2024
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