Rattananan, Watcharasarn

Rattananan, Watcharasarn is an individual health care provider with primary practice located at 201 S Gibson Rd Apt 1208 , Henderson NV 89012-2660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Rattananan, Watcharasarn can be contacted via phone (615) 345-5400.

Contact Information

Primary practice address
201 S Gibson Rd Apt 1208 Henderson NV 89012-2660
Fax: (888) 468-6603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD2019-0793 New Mexico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 17053 Nevada
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 17053 Nevada

Profile Details

NPI number 1760612659
LBN Legal business name Rattananan, Watcharasarn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2009
Last updated Sep 1st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760612659 NPPES
New Mexico Other MD2019-0793 NEW MEXICO MEDICAL BOARD

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