Khongruk Wongkittiroch in Fort Lauderdale - Procedural Dermatology
Khongruk Wongkittiroch - NPI 1205003068
Khongruk Wongkittiroch is a Procedural Dermatology in Fort Lauderdale, Florida. Khongruk Wongkittiroch practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Khongruk Wongkittiroch is 1205003068. The last update date is 2014-12-18.
Khongruk Wongkittiroch's current location address is 2838 E Oakland Park Blvd, Fort Lauderdale, Florida. You can contact this provider via phone number 9545640040. The mailing address for Khongruk Wongkittiroch is 2838 E Oakland Park Blvd, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khongruk Wongkittiroch |
|---|---|
| Address | 2838 E Oakland Park Blvd, Fort Lauderdale, Florida |
| Phone Number | 9545640040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1205003068 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2014-12-18 |
Provider Mailing Address Detail
| Address | 2838 E Oakland Park Blvd |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333061814 |
| Phone Number | 9545640040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | OS11792 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28528 | FL | BLUE CROSS BLUE SHIELD OF FLOR | |
| 261637814 | FL | MULTI PLAN | |
| 317129 | FL | AVMED | |
| 261637814 | FL | UNITED HEALTHCARE | |
| 6375863 | FL | CIGNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Khongruk Wongkittiroch?
The Khongruk Wongkittiroch has been issued the NPI (National Provider Identifier) 1205003068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Khongruk Wongkittiroch?
The Khongruk Wongkittiroch is situated at 2838 E Oakland Park Blvd, in the city of Fort Lauderdale, state of FL, with the zip code 333061814.
What is Khongruk Wongkittiroch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Khongruk Wongkittiroch's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205003068 to Khongruk Wongkittiroch?
The Centers for Medicare & Medicaid Services assigned the 1205003068 to Khongruk Wongkittiroch on 2008-05-12.
When was the information related to Khongruk Wongkittiroch most recently updated or refreshed?
The details pertaining to the Khongruk Wongkittiroch, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-18.