Kriengsak Itsara is a Nephrology in Modesto, California. Kriengsak Itsara practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Kriengsak Itsara is 1558363739. The last update date is 2008-02-25.
Kriengsak Itsara's current location address is 305 E Granger Ave, Modesto, California. You can contact this provider via phone number 2065261606 and fax number 2095261677. The mailing address for Kriengsak Itsara is 305 E Granger Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kriengsak Itsara |
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Address | 305 E Granger Ave, Modesto, California |
Phone Number | 2065261606 |
Fax Number | 2095261677 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1558363739 |
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Provider Enumeration Date | 2005-06-01 |
Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
Address | 305 E Granger Ave |
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City | Modesto |
State | California (CA) |
Post Code | 9535043440 |
Phone Number | 2065261606 |
Fax Number | 2095261677 |
Provider's Primary Taxonomy Detail
Speciality | Nephrology |
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Taxonomy | 207Rn0300X |
Licence No | A33103 |
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00A331030 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kriengsak Itsara by the Centers for Medicare & Medicaid Services?
The Kriengsak Itsara has been assigned the NPI (National Provider Identifier) 1558363739 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kriengsak Itsara is located?
The Kriengsak Itsara is situated at the following address: 305 E Granger Ave, Modesto, CA, 9535043440.
What is Kriengsak Itsara's area of expertise and its corresponding taxonomy classification?
The Kriengsak Itsara's field of specialization is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their areas of practice.
When did the Kriengsak Itsara receive its 1558363739?
The Kriengsak Itsara was issued its 1558363739 on 2005-06-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kriengsak Itsara last refreshed?
The information related to the Kriengsak Itsara, including its address, specialty, and other relevant details, was last updated on 2008-02-25.