Dr. Sirisak Suntharasantic
MD | Pediatrics | Male
Dr. Sirisak Suntharasantic, MD is a Alton, Illinois based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Sirisak Suntharasantic is also known as
Sirisak Sun.
Current practice location of Dr. Sirisak Suntharasantic is
4 Memorial Dr Ste 210, Alton, Illinois - 62002-6751. He can be contacted on phone at
618-463-0649 and fax number 618-463-3390.
Dr. Sirisak Suntharasantic is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Sirisak Suntharasantic is
1114083888 which was assigned by NPPES on 28 Dec, 2006 and it was last updated on 03 May, 2018.
Dr. Sirisak Suntharasantic license number is
036048367 for Pediatrics (208000000X) in Illinois.
Dr. Sirisak Suntharasantic is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Sirisak Suntharasantic basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Sirisak Suntharasantic |
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| Other Name : | Sirisak Sun |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Sirisak Suntharasantic 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 : | 4 Memorial Dr Ste 210
Alton, IL, 62002-6751
United States |
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| Phone Number : | 618-463-0649 |
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| Fax Number : | 618-463-3390 |
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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 : | 1114083888 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Dec, 2006 |
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| Last Updated On : | 03 May, 2018 |
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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. Sirisak Suntharasantic are as mentioned. Primary taxonomy code for Dr. Sirisak Suntharasantic, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036048367 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sirisak Suntharasantic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036048367 | MEDICAID | IL | |
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 : | 4 Memorial Dr Ste 210
Alton, IL, 62002-6751
United States |
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| Phone Number : | 618-463-0649 |
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| Fax Number : | 618-463-3390 |
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Business Location:
Patients can refer following map for directions to
Dr. Sirisak Suntharasantic 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.