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Alisa Thavikulwat

NPI 1265827745 · on the registry since 2015 · sole proprietor

Practice

Address
12150 Annapolis Rd Ste 111
Glenn Dale, MD 20769
Phone
(301) 779-0844
Organisation at this address
Visionmd, Llc
Tru Health Inc.
Tru Health Inc.
Skinvana Medspa
Nader A Dakak Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Registry record

Primary taxonomy
Ophthalmology Physician
207W00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-24
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland