Uraiwan Tana Hompluem in East Alton - Pediatrics

Uraiwan Tana Hompluem - NPI 1477619278

Uraiwan Tana Hompluem is a Pediatrics in East Alton, Illinois. Uraiwan Tana Hompluem practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Uraiwan Tana Hompluem is 1477619278. The last update date is 2016-04-25.

Uraiwan Tana Hompluem's current location address is 2 Terminal Dr, East Alton, Illinois. You can contact this provider via phone number 6182591419 and fax number 6182591502. The mailing address for Uraiwan Tana Hompluem is 2 Terminal Dr, East Alton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Uraiwan Tana Hompluem
Address 2 Terminal Dr, East Alton, Illinois
Phone Number 6182591419
Fax Number 6182591502
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1477619278
Provider Enumeration Date 2006-12-28
Last Updated Date 2016-04-25

Provider Mailing Address Detail

Address 2 Terminal Dr
City East Alton
State Illinois (IL)
Post Code 620242268
Phone Number 6182591419
Fax Number 6182591502

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 36067508
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36067508 IL --

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FAQs about Uraiwan Tana Hompluem

What is the Uraiwan Tana Hompluem's unique identification number?

The Uraiwan Tana Hompluem has been assigned the NPI (National Provider Identifier) Number 1477619278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Uraiwan Tana Hompluem located?

The Uraiwan Tana Hompluem is located at 2 Terminal Dr, East Alton, IL 620242268.

What is the Uraiwan Tana Hompluem's specialty and taxonomy code?

The Uraiwan Tana Hompluem's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1477619278 to Uraiwan Tana Hompluem?

The Centers for Medicare & Medicaid Services originally issued the 1477619278 to Uraiwan Tana Hompluem on 2006-12-28.

When was the information pertaining to Uraiwan Tana Hompluem most recently updated or revised?

The details related to Uraiwan Tana Hompluem, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-25.

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