Individual
DR. DUKE J RUKTANONCHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 REEDSDALE ST, PITTSBURGH, PA 15233-2109
(412) 488-4040
(412) 488-4097
Mailing address
2023 W GROVE DR, GIBSONIA, PA 15044-6059
(630) 306-4394
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036116196
IL
2084P0800X
Psychiatry Physician
Primary
MD457852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215643
BLUE CROSS BLUE SHIELD
IL
05
—
036116196
—
IL
Enumeration date
08/17/2006
Last updated
11/11/2024
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