Alisa Thavikulwat
Ophthalmology · Glenn Dale, MD
UnclaimedNPI 1265827745
- Primary taxonomy
- 207W00000X
- Enumerated
- 2015-04-01
- Practice location
- Glenn Dale, MD
- Last NPPES update
- 2020-09-24
State licenses
- MD · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.