DR. WATCHARASARN RATTANANAN MD NPI 1760612659

NPI Information

NPI: 1760612659
Provider Name: DR. WATCHARASARN RATTANANAN, MD
Classification: Psychiatry & Neurology - 2084N0600X
Specialization: Clinical Neurophysiology
Entity Type: Individual
PECOS Registration: Yes
Address: 201 S GIBSON RD APT 1208
HENDERSON, NV
ZIP 89012
Phone: (615) 345-5400

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NPI Details

DR. Watcharasarn Rattananan, MD is a clinical neurophysiology psychiatry neurology in Henderson, NV. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Watcharasarn Rattananan, MD NPI is 1760612659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 S GIBSON RD APT 1208
HENDERSON, NV
ZIP 89012-660
Phone: (615) 345-5400
Fax: (888) 468-6603

The NPI 1760612659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2009 and was last updated on 9/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD2019-0793	NEW MEXICO	No
2	2084N0400X	Psychiatry & Neurology	Neurology	17053	NEVADA	No
3	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	17053	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MD2019-0793	OTHER	NEW MEXICO	NEW MEXICO MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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