Individual
SIRIDAO LAOHASATIT CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10939 AL HIGHWAY 157, MOULTON, AL 35650-1900
(256) 974-3390
(256) 905-0261
Mailing address
PO BOX 340, MOULTON, AL 35650-0340
(256) 974-3390
(256) 905-0261
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
00020658
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540003401
—
AL
05
—
540003994
—
AL
Enumeration date
06/21/2006
Last updated
05/16/2008
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