Niranat Dejtiranukul in Olney - Otolaryngology
Niranat Dejtiranukul - NPI 1013049212
Niranat Dejtiranukul is a Otolaryngology in Olney, Illinois. Niranat Dejtiranukul practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Niranat Dejtiranukul is 1013049212. The last update date is 2011-10-28.
Niranat Dejtiranukul's current location address is Po Box 97, Olney, Illinois. You can contact this provider via phone number 6183957340. The mailing address for Niranat Dejtiranukul is Po Box 97, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Niranat Dejtiranukul |
|---|---|
| Address | Po Box 97, Olney, Illinois |
| Phone Number | 6183957340 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013049212 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2011-10-28 |
Provider Mailing Address Detail
| Address | Po Box 97 |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624500097 |
| Phone Number | 6183957340 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 036-050750 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 216183 | MEDICARE PTAN | ||
| 36050750 | IL | -- | |
| 8022315 | IL | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Niranat Dejtiranukul by the Centers for Medicare & Medicaid Services (CMS)?
The Niranat Dejtiranukul has been assigned the NPI (National Provider Identifier) 1013049212. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Niranat Dejtiranukul's facilities are geographically located?
The facilities of Niranat Dejtiranukul are physically situated at the following location: Po Box 97, Olney, IL, 624500097.
What is the area of specialization for Niranat Dejtiranukul, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Niranat Dejtiranukul is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013049212 to Niranat Dejtiranukul?
The Centers for Medicare & Medicaid Services assigned the 1013049212 to Niranat Dejtiranukul on 2007-03-12.
As of what date were the details related to Niranat Dejtiranukul most recently updated or revised?
The information pertaining to Niranat Dejtiranukul, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-28.