National Provider Identifier
Thanyanan Reungwetwattana, M.D.
Thanyanan Reungwetwattana, M.D. is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 845-4101.
Profile Overview
- NPI
- 1730423807
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 15, 2012
- Last Updated
- November 15, 2012
Practice Location
- Roswell Park Cancer Institute
- Elm & Carlton Streets
- Buffalo, NY 14263-0001
Phone: (716) 845-4101
Mailing Address
- 275B Evans St
- Apt # 6
- Williamsville, NY 14221-5666
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1730423807
- Entity Type
- Individual
- Last Name
- Reungwetwattana
- First Name
- Thanyanan
- Credential
- M.D.
- Mailing Street Address
- 275B Evans St
- Mailing Address Line 2
- Apt # 6
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5666
- Mailing Country
- US
- Mailing Phone
- (507) 319-1774
- Practice Street Address
- Roswell Park Cancer Institute
- Practice Address Line 2
- Elm & Carlton Streets
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-4101
- Practice Fax
- (716) 845-3423
- Enumeration Date
- November 15, 2012
- Last Updated
- November 15, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)