Provider Demographics
NPI:1518711274
Name:TIRASAWASDICHAI, NAPAS (MD)
Entity Type:Individual
Prefix:MR
First Name:NAPAS
Middle Name:
Last Name:TIRASAWASDICHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72/34, INTAMARA I, SUTTHISANVINIJJAI RD
Mailing Address - Street 2:
Mailing Address - City:PHAYATHAI
Mailing Address - State:BANGKOK
Mailing Address - Zip Code:10400
Mailing Address - Country:TH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:72/34, INTAMARA I, SUTTHISANVINIJJAI RD
Practice Address - Street 2:
Practice Address - City:PHAYATHAI
Practice Address - State:BANGKOK
Practice Address - Zip Code:10400
Practice Address - Country:TH
Practice Address - Phone:872-258-8928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA615395032085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology