STHORN THATAYATIKOM MD NPI 1134394596

NPI Information

Sthorn Thatayatikom, MD is a pediatric allergy/immunology pediatrics in Gainesville, FL. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Sthorn Thatayatikom, MD NPI is 1134394596. 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:

1600 SW ARCHER RD
BOX 100371
GAINESVILLE, FL
ZIP 32610-296
Phone: (352) 294-5252
Fax: (352) 294-8068

The NPI 1134394596 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 4/28/2008 and was last updated on 5/3/2017.

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:

Other Identifiers

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

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