Individual
PONGKIAT KANKIRAWATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 996-7850
(205) 996-7867
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 996-7850
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
24108
AL
Other
Enumeration date
08/25/2006
Last updated
10/22/2020
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