Search › Maryland › 363LA2200X
Theerarat Thanavaro
NPI 1265823074 · on the registry since 2015
Practice
- Address
- 9512 Harford Rd
Parkville, MD 21234 - Phone
- (410) 665-4400
- Organisation at this address
- Tcmg Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 300 Medical Plz Ste 150, Lake St Louis, MO
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland