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Diana Athonvarangkul

Internal Medicine, Endocrinology, Diabetes & Metabolism in New Haven, CT. Individual provider (NPI-1).

NPI number1275980450
StatusActive
Last updated in NPPESJan 27, 2023

Details

NPI
1275980450
Entity type
Individual (NPI-1)
Name
Diana Athonvarangkul
Sex
Female
Sole proprietor
Yes
Enumeration date
May 18, 2016
Certification date
Jan 27, 2023
Last updated
Jan 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism69446CTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

15 York St
Ynhh Dept Of Medicine, Lmp 1092
New Haven, CT 06510-3221

Phone 203-688-5555

Mailing address

15 York St
Ynhh Dept Of Medicine, Lmp 1092
New Haven, CT 06510-3221

Phone 203-688-5555

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