Weerasethsiri, Rungtiwa
Weerasethsiri, Rungtiwa is an individual health care provider with primary practice located at 700 W Olive Ave Ste D , Merced CA 95348-2435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Weerasethsiri, Rungtiwa can be contacted via phone (209) 383-1343.Contact Information
Primary practice address
700 W Olive Ave Ste D
Merced CA 95348-2435
Phone: (209) 383-1343
Fax: (209) 383-5291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A106684 | California |
Profile Details
| NPI number | 1093951444 |
|---|---|
| LBN Legal business name | Weerasethsiri, Rungtiwa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2009 |
| Last updated | Jun 7th, 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 | 1093951444 | NPPES |
| California | MEDICAID | 1093951444 |
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