Individual
THAPAT WANNARONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4242 FARNAM ST STE 650, OMAHA, NE 68131-2813
(402) 559-8600
Mailing address
988435 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8435
(402) 559-4086
(402) 559-3341
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2022-00478
NC
2084N0400X
Neurology Physician
Primary
36686
NE
2084N0400X
Neurology Physician
72793
MN
Other
Enumeration date
06/20/2018
Last updated
08/31/2025
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