Dr. Ponrat Pakpreo
MD | Pediatric Adolescent Medicine | Female
Dr. Ponrat Pakpreo, MD is a Spokane Valley, Washington based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Ponrat Pakpreo is
16528 E Desmet Ct Ste B-1000, Spokane Valley, Washington - 99216-3522. She can be contacted on phone at
509-944-8860 and fax number 509-944-8856.
Dr. Ponrat Pakpreo is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Ponrat Pakpreo is
1023050200 which was assigned by NPPES on 12 Jun, 2006 and it was last updated on 13 Jan, 2023.
Dr. Ponrat Pakpreo license number is
MD00047151 for Pediatrics, Adolescent Medicine (2080A0000X) in Washington.
Dr. Ponrat Pakpreo specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Ponrat Pakpreo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Dr. Ponrat Pakpreo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Ponrat Pakpreo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 16528 E Desmet Ct Ste B-1000
Spokane Valley, WA, 99216-3522
United States |
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| Phone Number : | 509-944-8860 |
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| Fax Number : | 509-944-8856 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023050200 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jun, 2006 |
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| Last Updated On : | 13 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ponrat Pakpreo are as mentioned. Primary taxonomy code for Dr. Ponrat Pakpreo, MD is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 224294 | NY |
| 208000000X | Pediatrics | No | MD00047151 | WA |
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 224294 | NY |
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | MD00047151 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ponrat Pakpreo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02689641 | MEDICAID | NY | |
| 8468340 | MEDICAID | WA | |
| AB32999 | Other (non-Medicare) | WA | Medicare Group |
| G8862434 | MEDICARE PIN | WA | |
| I46512 | MEDICARE UPIN | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 421
Liberty Lake, WA, 99019-0421
United States |
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| Phone Number : | 509-893-8140 |
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Business Location:
Patients can refer following map for directions to
Dr. Ponrat Pakpreo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.