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DR. KAMONCHANOK KIJSIRICHAREANCHAI MD NPI 1407377179


NPI Information

NPI: 1407377179
Provider Name: DR. KAMONCHANOK KIJSIRICHAREANCHAI, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
1112 S LAKE AVE. SUITE 201
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 312-5350
Get Directions

DR. Kamonchanok Kijsirichareanchai, MD is a geriatric medicine internal medicine in Sioux Falls, SD with 12 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Kamonchanok Kijsirichareanchai, MD NPI is 1407377179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1112 S LAKE AVE. SUITE 201
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 312-5350
Fax: (605) 312-8945

The NPI 1407377179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 11/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine125069808ILLINOISNo
2207R00000XInternal Medicine13042SOUTH DAKOTANo
3207RS0012XInternal MedicineSleep Medicine036155361ILLINOISNo
4208M00000XHospitalist13042SOUTH DAKOTANo
5207RG0300XInternal MedicineGeriatric Medicine13042SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.