Organization
PRACHAK T SIRIPRAKORN M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRACHAK T SIRIPRAKORN M.D. (PHYSICIAN)
(703) 491-2179
Entity
Organization
Contact information
Practice address
1966 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 491-2179
(703) 491-4532
Mailing address
1966 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 491-2179
(703) 491-4532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438917
MEDICARE, CAMP HILL, PA
VA
Enumeration date
01/29/2009
Last updated
01/29/2009
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