Individual
SUJITTRA TONGPRASERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1263 HOSPITAL DR NW, SUITE 280, CORYDON, IN 47112-2172
(812) 738-4251
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-4251
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01079374A
IN
207L00000X
Anesthesiology Physician
35876
KY
Other
Enumeration date
08/04/2008
Last updated
12/30/2020
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