Pintavorn, Pairach
Pintavorn, Pairach is an individual health care provider with primary practice located at 818 Saint Sebastian Way Ste 300, Augusta GA 30901-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pintavorn, Pairach can be contacted via phone (706) 722-0186.Contact Information
Primary practice address
818 Saint Sebastian Way Ste 300
Augusta GA 30901-2651
Phone: (706) 722-0186
Fax: (706) 722-0290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 047132 | Georgia |
Profile Details
| NPI number | 1588626030 |
|---|---|
| LBN Legal business name | Pintavorn, Pairach |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Apr 9th, 2012 - 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 | 1588626030 | NPPES |
| Georgia | MEDICAID | 00840397A | |
| Georgia | MEDICAID | Q64412 |
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