Individual
ONGKARN SARASOMBATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-2000
(479) 274-2194
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2012037438
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502490A
—
OK
05
—
201021001
—
AR
01
—
E8112
MEDICAL LICENSE
AR
Enumeration date
07/25/2007
Last updated
09/01/2015
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