Individual provider · Type 1 NPI

Tosaporn Krasaeath, MD

Diagnostic Radiology Physician · Vidalia, GA

NPI number 1366424640 Active

Practice location

1703 Meadows Ln
Vidalia, GA 30474-8915

Call (800) 382-4023 Map

Mailing address

PO Box 2049
Moultrie, GA 31776-2049

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X026884 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1366424640

Tosaporn Krasaeath, MD's National Provider Identifier is 1366424640, issued on Nov 14, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Vidalia, GA. The record was last updated on Jul 8, 2007.