Individual
DR. SOMKIAT SOPONTAMMARAK
Active
Individual
DR. SOMKIAT SOPONTAMMARAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
N9304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702120
—
SD
01
—
TXB125279
TX MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
07/15/2008
Last updated
03/20/2024
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