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NPI Code Detail

MEDICARE: AMORNPOL ANUWATWORN M.D.

MEDICARE: AMORNPOL ANUWATWORN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician50273KY
2207RC0000XCardiovascular Disease PhysicianMD70026581WA
3207RC0000XCardiovascular Disease PhysicianMD482364PA
4207RC0000XCardiovascular Disease Physician311264LA

General Provider Information

NPI Number : 1114215563
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMORNPOL ANUWATWORN M.D.
Provider Business Mailing Address
First Line : PO BOX 741515
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-1515
Country : US
Telephone Number : 206-341-1111
Fax Number : 206-223-8824
Provider Business Practice Location Address
First Line : 1100 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2756
Country : US
Telephone Number : 206-341-1111
Fax Number : 206-223-8824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2011
Last Update Date : 12/09/2025

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