Individual
DR. PORNPIMOL RIANTHAVORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 NE 13TH ST, 2B2309, OKLAHOMA CITY, OK 73104-5008
(405) 271-4409
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24696
OK
2080P0210X
Pediatric Nephrology Physician
24696
OK
2080P0210X
Pediatric Nephrology Physician
Primary
A73758
CA
Other
Enumeration date
03/11/2006
Last updated
09/11/2025
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