Pramote Anantachai in Herrin - Internal Medicine

Pramote Anantachai - NPI 1841344876

Pramote Anantachai is a Internal Medicine in Herrin, Illinois. Pramote Anantachai practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Pramote Anantachai is 1841344876. The last update date is 2018-05-30.

Pramote Anantachai's current location address is 405 Rushing Dr, Herrin, Illinois. You can contact this provider via phone number 6189933300 and fax number 6189930262. The mailing address for Pramote Anantachai is 405 Rushing Dr, Herrin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Pramote Anantachai
Address 405 Rushing Dr, Herrin, Illinois
Phone Number 6189933300
Fax Number 6189930262
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1841344876
Provider Enumeration Date 2007-01-23
Last Updated Date 2018-05-30

Provider Mailing Address Detail

Address 405 Rushing Dr
City Herrin
State Illinois (IL)
Post Code 629483730
Phone Number 6189933300
Fax Number 6189930262

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36050261
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36050261 IL --
793113283 RAILROAD MEDICARE
663336 UMWA HR FUNDS

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FAQs about Pramote Anantachai

What is the unique provider identifier assigned to Pramote Anantachai?

The Pramote Anantachai has been issued the NPI (National Provider Identifier) 1841344876 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 street address where Pramote Anantachai is physically located?

The Pramote Anantachai is physically situated at the following address: 405 Rushing Dr, Herrin, IL, 629483730.

What is the Pramote Anantachai's specialty and taxonomy code?

The Pramote Anantachai's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date was the 1841344876 assigned to Pramote Anantachai?

The Pramote Anantachai was issued its 1841344876 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Pramote Anantachai last refreshed?

The information related to the Pramote Anantachai, including its address, specialty, and other relevant details, was last updated on 2018-05-30.

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