Individual provider · Type 1 NPI

Pon Trairatvorakul, MD

Student in an Organized Health Care Education/Training Program · Mobile, AL

NPI number 1194038067 Active

Practice location

1504 Springhill Ave, Children's Medical Center
Mobile, AL 36604-3207

Call (251) 434-3915 Map

Fax (251) 434-3802

Mailing address

1700 Center St, Pediatric Residency Program
Mobile, AL 36604-3301

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194038067

Pon Trairatvorakul, MD's National Provider Identifier is 1194038067, issued on Jul 21, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mobile, AL. The record was last updated on Jul 21, 2010.