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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1649534496 NPPES
Other 1649534496 NPI

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