Individual
SAKDIDEJ SUWAN
Active
Individual
SAKDIDEJ SUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD014710Y
PA
207RI0200X
Infectious Disease Physician
Primary
MD014710Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006560810001
—
PA
01
—
165045
BLUE SHEILD
PA
Enumeration date
03/09/2006
Last updated
07/13/2026
Update your record
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