Rasameesoraj, Tanaporn
Rasameesoraj, Tanaporn is an individual health care provider with primary practice located at 4233 Gateway Blvd , Newburgh IN 47630. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Rasameesoraj, Tanaporn can be contacted via phone (812) 477-1560.Contact Information
Primary practice address
4233 Gateway Blvd
Newburgh IN 47630
Phone: (812) 477-1560
Fax: (812) 477-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01082567A | Indiana |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 125071614 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1649534496 |
|---|---|
| LBN Legal business name | Rasameesoraj, Tanaporn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Jul 25th, 2019 - about 5 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 | 1649534496 | NPPES |
| Other | 1649534496 | NPI |
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