Female

Tanaporn Rasameesoraj M.D.

Neurology Physician in Newburgh, IN(View on Map)

Full Name

Tanaporn Rasameesoraj M.D.

NPI Number

1649534496

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2012

Specialties

(Taxonomies)

Licenses

State

Illinois
Indiana

License Number

125071614
01082567A

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1510
4233 GATEWAY BLVD

City

Evansville
Newburgh

State

IN
IN

Postal Code

47706-1510
47630

Country

US
US

Telephone Number

(812) 450-6815
(812) 477-1560

Identifiers

Identifier

1649534496

Identifier State

Unknown

Identifier Issuer

NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/25/2019

Provider Address

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