Ratanawongsa, Neda
Ratanawongsa, Neda is an individual health care provider with primary practice located at 1001 Potrero Ave 1M General Medicine Clinic, San Francisco CA 94110-3518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ratanawongsa, Neda can be contacted via phone (410) 206-8494.Contact Information
Primary practice address
1001 Potrero Ave 1M General Medicine Clinic
San Francisco CA 94110-3518
Phone: (410) 206-8494
Fax: (415) 206-6115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A76954 | California |
Profile Details
| NPI number | 1598769002 |
|---|---|
| LBN Legal business name | Ratanawongsa, Neda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Oct 1st, 2014 - about 10 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 | 1598769002 | NPPES |
| Maryland | Other | D0061811 | MARYLAND LICENSE |
| Maryland | Other | A76954 | MARYLAND LICENSE |
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