Thanom Temiyasathit in Normal - Cardiovascular Disease
Thanom Temiyasathit - NPI 1023041175
Thanom Temiyasathit is a Cardiovascular Disease in Normal, Illinois. Thanom Temiyasathit practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Thanom Temiyasathit is 1023041175. The last update date is 2007-07-08.
Thanom Temiyasathit's current location address is 1302 Franklin Ave, Normal, Illinois. You can contact this provider via phone number 3098281166 and fax number 3098620330. The mailing address for Thanom Temiyasathit is 1302 Franklin Ave, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thanom Temiyasathit |
|---|---|
| Address | 1302 Franklin Ave, Normal, Illinois |
| Phone Number | 3098281166 |
| Fax Number | 3098620330 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023041175 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1302 Franklin Ave |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617613551 |
| Phone Number | 3098281166 |
| Fax Number | 3098620330 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 036-054080 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8003 | IL | HEALTH ALLIANCE | |
| 36054080 | IL | -- | |
| 5732097 | IL | BC GROUP NUMBER |
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What is the unique 10-digit identifier code assigned to Thanom Temiyasathit by the Centers for Medicare & Medicaid Services?
The Thanom Temiyasathit has been issued the NPI (National Provider Identifier) 1023041175 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Thanom Temiyasathit located?
The Thanom Temiyasathit is located at 1302 Franklin Ave, Normal, IL 617613551.
What is Thanom Temiyasathit's area of expertise and its corresponding taxonomy classification?
The Thanom Temiyasathit's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.
When did the Thanom Temiyasathit receive its 1023041175?
The Thanom Temiyasathit was issued its 1023041175 on 2006-07-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Thanom Temiyasathit most recently updated or revised?
The information pertaining to Thanom Temiyasathit, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.