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SUNTI S. SRIVATHANAKUL MD NPI 1801870449


NPI Information

NPI: 1801870449
Provider Name: SUNTI S. SRIVATHANAKUL, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: DALLAS COUNTY HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
9202 ELAM RD
SOUTHEAST DALLAS HEALTH CENTER
DALLAS, TX
ZIP 75217
Phone: (214) 266-1600
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Sunti S. Srivathanakul, MD is a family medicine in Dallas, TX with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Sunti S. Srivathanakul, MD NPI is 1801870449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1994

The provider's business location address is:

9202 ELAM RD
SOUTHEAST DALLAS HEALTH CENTER
DALLAS, TX
ZIP 75217-151
Phone: (214) 266-1600
Fax: (214) 266-1742

The NPI 1801870449 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 12/6/2005 and was last updated on 1/23/2013.


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
1207Q00000XFamily MedicineJ8783TEXASYes

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
1161686405MEDICAIDTEXAS
2161686410MEDICAIDTEXAS
384Y442MEDICARE PINTEXAS
484Y442OTHERTEXASBLUE CROSS BLUE SHIELD
5161686404MEDICAIDTEXAS
6161686406MEDICAIDTEXAS
7161686407MEDICAIDTEXAS
8161686401MEDICAIDTEXAS
9161686412MEDICAIDTEXAS
10161686408MEDICAIDTEXAS
11161686403MEDICAIDTEXAS
12161686409MEDICAIDTEXAS
13161686411MEDICAIDTEXAS
14G18492MEDICARE UPINTEXAS
15161686402MEDICAIDTEXAS

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.