Individual
DR. KANOKRAT SUKSOMPOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35749
AZ
207RI0200X
Infectious Disease Physician
Primary
A96983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117346
HEALTH CHOICE OF AZ
AZ
05
—
117346
—
AZ
01
—
2Z7810
HEALTH NET OF AZ
AZ
01
—
7789806
AETNA
AZ
Enumeration date
08/09/2006
Last updated
09/03/2019
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