Rattanasamphan, Worawan

Rattanasamphan, Worawan is an individual health care provider with primary practice located at 1750 112Th Ave Ne Suite A-101, Bellevue WA 98004-3752. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rattanasamphan, Worawan can be contacted via phone (425) 688-5234.

Contact Information

Primary practice address
1750 112Th Ave Ne Suite A-101 Bellevue WA 98004-3752
Fax: (425) 688-5756
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00045055 Washington

Profile Details

NPI number 1073574471
LBN Legal business name Rattanasamphan, Worawan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 7th, 2023 - about last year

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 1073574471 NPPES
Washington Other 1073574471 NPI
Washington Other MD00045055 NPI

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