Individual
DR. SUARTCHA PRUEKSARITANOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD205898
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD61139946
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036134083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306129663
—
WA
Enumeration date
09/23/2011
Last updated
08/15/2022
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