Individual provider · Type 1 NPI

Thanyanan Reungwetwattana, MD

Specialist · Buffalo, NY

NPI number 1730423807 Active

Practice location

Roswell Park Cancer Institute, Elm & Carlton Streets
Buffalo, NY 14263-0001

Call (716) 845-4101 Map

Fax (716) 845-3423

Mailing address

275B Evans St, Apt # 6
Williamsville, NY 14221-5666

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XP86261 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730423807

Thanyanan Reungwetwattana, MD's National Provider Identifier is 1730423807, issued on Nov 15, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Buffalo, NY. The record was last updated on Nov 15, 2012.