Lertvaranurak, Varavoot Ray

Lertvaranurak, Varavoot Ray is an individual health care provider with primary practice located at 845 Jackson St Radiology, San Francisco CA 94133-4851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lertvaranurak, Varavoot Ray can be contacted via phone (415) 677-2320.

Contact Information

Primary practice address
845 Jackson St Radiology San Francisco CA 94133-4851
Phone: (415) 677-2320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A71768 California

Profile Details

NPI number 1861478463
LBN Legal business name Lertvaranurak, Varavoot Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Mar 26th, 2008 - about 16 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 1861478463 NPPES
California MEDICAID 00A717680

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