Waran, Prayuk A.

Waran, Prayuk A. is an individual health care provider with primary practice located at 999 N Stone St Ste B , Deland FL 32720-0800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Waran, Prayuk A. can be contacted via phone (386) 740-4017.

Contact Information

Primary practice address
999 N Stone St Ste B Deland FL 32720-0800
Phone: (386) 740-4017
Fax: (386) 740-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01041051A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G130667 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME155251 Florida

Profile Details

NPI number 1992819957
LBN Legal business name Waran, Prayuk A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 20th, 2022 - about 2 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 1992819957 NPPES
Indiana Other 000000080492 ANTHEM
Indiana MEDICAID 100385540 ANTHEM
Indiana Other 000000721936 ANTHEM

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