Thana Krisdakumtorn in Los Altos - Sports Medicine
Thana Krisdakumtorn - NPI 1487765863
Thana Krisdakumtorn is a Sports Medicine in Los Altos, California. Thana Krisdakumtorn practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Thana Krisdakumtorn is 1487765863. The last update date is 2020-03-04.
Thana Krisdakumtorn's current location address is 325 Distel Cir, Los Altos, California. You can contact this provider via phone number 6508532986. The mailing address for Thana Krisdakumtorn is 325 Distel Cir, Los Altos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thana Krisdakumtorn |
|---|---|
| Address | 325 Distel Cir, Los Altos, California |
| Phone Number | 6508532986 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1487765863 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-03-04 |
Provider Mailing Address Detail
| Address | 325 Distel Cir |
|---|---|
| City | Los Altos |
| State | California (CA) |
| Post Code | 940221408 |
| Phone Number | 6508532986 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | E4241 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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What is the unique 10-digit identification code assigned to Thana Krisdakumtorn by the Centers for Medicare & Medicaid Services?
The Thana Krisdakumtorn has been issued the NPI (National Provider Identifier) 1487765863, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thana Krisdakumtorn is located?
The Thana Krisdakumtorn is situated at the following address: 325 Distel Cir, Los Altos, CA, 940221408.
What is the area of specialization for Thana Krisdakumtorn, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thana Krisdakumtorn is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487765863 to Thana Krisdakumtorn?
The Centers for Medicare & Medicaid Services originally issued the 1487765863 to Thana Krisdakumtorn on 2006-08-31.
As of what date were the Thana Krisdakumtorn's details last updated?
The information pertaining to the Thana Krisdakumtorn, including its address, specialty, and other details, was most recently updated on 2020-03-04.