Wattanamano, Pornthep

Wattanamano, Pornthep is an individual health care provider with primary practice located at 3335 Riviera Dr , San Diego CA 92109-6614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Wattanamano, Pornthep can be contacted via phone (713) 384-3229.

Contact Information

Primary practice address
3335 Riviera Dr San Diego CA 92109-6614
Phone: (713) 384-3229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C186338 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X C186338 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X L5950 Texas

Profile Details

NPI number 1295738516
LBN Legal business name Wattanamano, Pornthep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 29th, 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 1295738516 NPPES
Texas MEDICAID 157125902
Texas Other P00193508
Texas Other 8R0570

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