Medha Suwanawongse is a Surgery in Herrin, Illinois. Medha Suwanawongse practices all healthcare services and medical treatments related to Surgery. The NPI Number for Medha Suwanawongse is 1366452443. The last update date is 2008-07-23.
Medha Suwanawongse's current location address is Po Box 129, Herrin, Illinois. You can contact this provider via phone number 6189886025 and fax number 6189886024. The mailing address for Medha Suwanawongse is Po Box 129, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Medha Suwanawongse |
|---|---|
| Address | Po Box 129, Herrin, Illinois |
| Phone Number | 6189886025 |
| Fax Number | 6189886024 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366452443 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | Po Box 129 |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629480129 |
| Phone Number | 6189886025 |
| Fax Number | 6189886024 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36087814 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9127249 | BCBS | ||
| 20048410 | MEDICARE RAILROAD | ||
| 36087814 | IL | -- | |
| 621141230A | IL | HEALTH ALLIANCE | |
| 259925 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the Medha Suwanawongse's unique identification number?
The Medha Suwanawongse has been assigned the NPI (National Provider Identifier) Number 1366452443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Medha Suwanawongse is located?
The Medha Suwanawongse is situated at the following address: Po Box 129, Herrin, IL, 629480129.
What is the Medha Suwanawongse's area of specialization and corresponding taxonomy classification?
The Medha Suwanawongse's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
When did Medha Suwanawongse receive its 1366452443 assignment?
The Medha Suwanawongse was assigned its 1366452443 on 2006-08-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Medha Suwanawongse last refreshed?
The information related to the Medha Suwanawongse, including its address, specialty, and other relevant details, was last updated on 2008-07-23.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM