Keattiyoat Wattanakit in Peoria - Internal Medicine
Keattiyoat Wattanakit - NPI 1407821077
Keattiyoat Wattanakit is a Internal Medicine in Peoria, Illinois. Keattiyoat Wattanakit practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keattiyoat Wattanakit is 1407821077. The last update date is 2010-09-27.
Keattiyoat Wattanakit's current location address is Po Box 9382, Peoria, Illinois. You can contact this provider via phone number 3096914410. The mailing address for Keattiyoat Wattanakit is Po Box 9382, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keattiyoat Wattanakit |
|---|---|
| Address | Po Box 9382, Peoria, Illinois |
| Phone Number | 3096914410 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407821077 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2010-09-27 |
Provider Mailing Address Detail
| Address | Po Box 9382 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616129382 |
| Phone Number | 3096914410 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 42286 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique provider identifier assigned to Keattiyoat Wattanakit?
The Keattiyoat Wattanakit has been issued the NPI (National Provider Identifier) 1407821077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Keattiyoat Wattanakit?
The Keattiyoat Wattanakit is physically situated at Po Box 9382, in the city of Peoria, state of IL, with the postal code 616129382.
What is the Keattiyoat Wattanakit's area of specialization and corresponding taxonomy classification?
The Keattiyoat Wattanakit's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Keattiyoat Wattanakit receive the assignment of its 1407821077 from the Centers for Medicare & Medicaid Services?
The Keattiyoat Wattanakit was issued its 1407821077 by the Centers for Medicare & Medicaid Services on 2006-02-17.
When was the information related to Keattiyoat Wattanakit most recently updated or refreshed?
The details pertaining to the Keattiyoat Wattanakit, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-27.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA