Alisa Thavikulwat is a Glenn Dale, Maryland based female Ophthalmologist with 9 years of experience in Ophthalmology. She completed her graduation from University Of Rochester School Of Medicine And Dentistry in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Alisa Thavikulwat is D0087217 for Ophthalmology in Maryland. Alisa Thavikulwat is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Alisa Thavikulwat speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Experience:
9+ years
Medical School Attended:
University Of Rochester School Of Medicine And Dentistry
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6002102175
Enrollment ID:
I20200901001539
NPI Number:
1265827745
NPI Enumeration Date:
01 Apr, 2015
NPI Last Update On:
24 Sep, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alisa Thavikulwat are as mentioned below.
License Number
Specialization
State
Status
D0087217
Ophthalmology
Maryland
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Alisa Thavikulwat has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Visionmd, Llc (2860732609)
4
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1855 W Taylor St, Department Of Ophthalmology Chicago, Illinois
Zip:
60612-7242
Phone Number:
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Fax Number:
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Patients can reach Alisa Thavikulwat at 12150 Annapolis Rd Ste 111, Glenn Dale, Maryland or can call to book an appointment on 301-779-0844. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.