Duangjak, Patrawadee

Duangjak, Patrawadee is an individual health care provider with primary practice located at 13207 Ravenna Rd , Chardon OH 44024-7032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Duangjak, Patrawadee can be contacted via phone (440) 285-6351.

Contact Information

Primary practice address
13207 Ravenna Rd Chardon OH 44024-7032
Fax: (440) 285-6128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 35-03-6105 Ohio

Profile Details

NPI number 1336258458
LBN Legal business name Duangjak, Patrawadee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336258458 NPPES
Ohio MEDICAID 3106758

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