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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NIBONTH VIRAVATHANA, M.D.

Active

DR. NIBONTH VIRAVATHANA, M.D. is a Internal Medicine healthcare provider located in PATTON, California. NPI 1194884221 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PATTON, CA

Registration Details

NPI Number
1194884221
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2006 (19.705247723396 yrs)
Last Updated
Sep 18, 2013
License
A33294 (CA)

Practice Information

Address
3102 E. HIGHLAND AVENUE
MEDICAL STAFF OFFICE
PATTON, CA, 92369
Browse CA providers · Browse ZIP 92369
Phone
9094257679
Fax
9094256635
Primary Specialty
Internal Medicine
207R00000X

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LUZMIN ACOSTA INDERIAS M.D. 1548331465
DR. INDERJIT SINGH M.D. 1417025388
DR. AYA EGUCHI M.D. 1578732541
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.