MR. TEERA PITTAYATHIKHUN MD NPI 1144234956

NPI Information

NPI: 1144234956
Provider Name: MR. TEERA PITTAYATHIKHUN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
211A SOUTH BURNS
SPARTA, IL
ZIP 62286
Phone: (618) 443-3522
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MR. Teera Pittayathikhun, MD is a general practice in Sparta, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MR. Teera Pittayathikhun, MD NPI is 1144234956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211A SOUTH BURNS
SPARTA, IL
ZIP 62286
Phone: (618) 443-3522
Fax: (618) 443-5036

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		36047341	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type
1	D10739	MEDICARE UPIN
2	291800	MEDICARE ID-TYPE UNSPECIFIED
3	291801	MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

NPI Synchronization or Removal

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