Krisdakumtorn, Thana

Krisdakumtorn, Thana is an individual health care provider with primary practice located at 795 El Camino Real , Palo Alto CA 94301-2302. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Sports Medicine, which is considered as his primary health care specialty. Krisdakumtorn, Thana can be contacted via phone (650) 330-4529.

Contact Information

Primary practice address
795 El Camino Real Palo Alto CA 94301-2302
Phone: (650) 330-4529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E4241 California

Profile Details

NPI number 1487765863
LBN Legal business name Krisdakumtorn, Thana
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 4th, 2020 - about 4 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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