Most Relevant Information
Provider Data
| NPI Number: | 1003669193 |
| Provider Name: | SASIN PAYAKACHAT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2024 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE
AR
727031908
Practice Location Phone/Fax
| Phone: | 4797138310 |
| Fax: |
Provider Mailing Location
114 CHARLESTON LN
LITTLE ROCK
AR
722234618
Provider Mailing Phone/Fax
| Phone: | 5018494184 |
| Fax: |