Individual
MS. JITSUDA SITTHI-AMORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PLACE, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
53002
TN
390200000X
Student in an Organized Health Care Education/Training Program
MT192699
PA
Other
Enumeration date
07/02/2008
Last updated
08/17/2017
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