Provider Demographics
NPI:1932543857
Name:PUNNANITHINONT, NATDANAI (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NATDANAI
Middle Name:
Last Name:PUNNANITHINONT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22433 S VERMONT AVE APT 451
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2586
Mailing Address - Country:US
Mailing Address - Phone:319-384-8397
Mailing Address - Fax:319-356-3086
Practice Address - Street 1:22433 S VERMONT AVE APT 451
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2586
Practice Address - Country:US
Practice Address - Phone:319-384-8397
Practice Address - Fax:319-356-3086
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL36859207R00000X
IAMD49697207R00000X, 2083C0008X
CAC199544207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics