Niranat Dejtiranukul in Olney - Otolaryngic Allergy
Niranat Dejtiranukul - NPI 1013049212
Niranat Dejtiranukul is a Otolaryngic Allergy in Olney, Illinois. Niranat Dejtiranukul practices all healthcare services and medical treatments related to Otolaryngic Allergy. 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 |
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Address | Po Box 97, Olney, Illinois |
Phone Number | 6183957340 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1013049212 |
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Provider Enumeration Date | 2007-03-12 |
Last Updated Date | 2011-10-28 |
Provider Mailing Address Detail
Address | Po Box 97 |
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City | Olney |
State | Illinois (IL) |
Post Code | 624500097 |
Phone Number | 6183957340 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Otolaryngic Allergy |
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Taxonomy | 207Yx0602X |
Licence No | 036-050750 |
Definition: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
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 Otolaryngic Allergy, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0602X.
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.