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SUKANYA KANTHAWATANA MD NPI 1447250741


NPI Information

NPI: 1447250741
Provider Name: SUKANYA KANTHAWATANA, MD
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual
Organization: DERMATOLOGY AND ALLERGY SPECIALISTS

PECOS Registration: Yes

Address:
703 LILLY RD NE
SUITE 103
OLYMPIA, WA
ZIP 98506
Phone: (360) 413-8760
Get Directions

Sukanya Kanthawatana, MD is an allergy immunology in Olympia, WA with 33 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Sukanya Kanthawatana, MD NPI is 1447250741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

703 LILLY RD NE
SUITE 103
OLYMPIA, WA
ZIP 98506-191
Phone: (360) 413-8760
Fax: (360) 413-8839

The NPI 1447250741 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 7/28/2005 and was last updated on 10/22/2013.


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
1207K00000XAllergy & ImmunologyMD00037188WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18240210MEDICAIDWASHINGTON
2GAB20352OTHERWASHINGTONMEDICARE
3AB20352MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
4G67644MEDICARE UPINWASHINGTON

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: 11/14/2023

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.