Pattanumotana, Damrong
Pattanumotana, Damrong is an sole proprietor health care provider with primary practice located at 2033 Divisadero St , Fresno CA 93701-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pattanumotana, Damrong can be contacted via phone (559) 266-6735.Contact Information
Primary practice address
2033 Divisadero St
Fresno CA 93701-2013
Phone: (559) 266-6735
Fax: (559) 266-2207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A039363 | California |
Profile Details
| NPI number | 1578564902 |
|---|---|
| LBN Legal business name | Pattanumotana, Damrong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | May 7th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578564902 | NPPES |
| California | MEDICAID | 00A393630 |
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