Individual provider · Type 1 NPI
Wiriyaporn Ridtitid
Specialist · Indianapolis, IN
NPI number
1801149687
Active
Practice location
550 University Blvd # UH1634
Indianapolis, IN 46202-5149
Mailing address
319 N West St Apt 416
Indianapolis, IN 46202-3262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 11016940A (IN) |
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 1801149687
Wiriyaporn Ridtitid's National Provider Identifier is 1801149687, issued on Oct 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 18, 2012.