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Individual
DR. SUWARAT WONGJITTRAPORN
Active
Individual
DR. SUWARAT WONGJITTRAPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-2059
GU
208M00000X
Hospitalist Physician
36659
SC
208M00000X
Hospitalist Physician
Primary
M-2059
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366598
—
SC
01
—
SC3808
MEDICARE
SC
Enumeration date
06/23/2011
Last updated
07/31/2017
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