Chantornsaeng, Sirinan

Chantornsaeng, Sirinan is an individual health care provider with primary practice located at 3186 S Maryland Pkwy , Las Vegas NV 89109-2317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Chantornsaeng, Sirinan can be contacted via phone (702) 731-8741.

Contact Information

Primary practice address
3186 S Maryland Pkwy Las Vegas NV 89109-2317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 12414 Nevada

Profile Details

NPI number 1740372010
LBN Legal business name Chantornsaeng, Sirinan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740372010 NPPES
California MEDICAID 00AG72710

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