Sthorn Thatayatikom
MD | Pediatric Allergy-Immunology | Female
Sthorn Thatayatikom, MD is a Gainesville, Florida based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Sthorn Thatayatikom is
1600 Sw Archer Rd, Box 100371, Gainesville, Florida - 32610-0296. She can be contacted on phone at
352-294-5252 and fax number 352-294-8068.
Sthorn Thatayatikom is a sole proprietor of her business.
NPI number (Unique professional ID) for Sthorn Thatayatikom is
1134394596 which was assigned by NPPES on 28 Apr, 2008 and it was last updated on 03 May, 2017.
Sthorn Thatayatikom license number is
ME114556 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Florida.
Sthorn Thatayatikom specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Sthorn Thatayatikom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Sthorn Thatayatikom |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Sthorn Thatayatikom 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 : | 1600 Sw Archer Rd, Box 100371
Gainesville, FL, 32610-0296
United States |
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| Phone Number : | 352-294-5252 |
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| Fax Number : | 352-294-8068 |
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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 : | 1134394596 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2008 |
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| Last Updated On : | 03 May, 2017 |
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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 Sthorn Thatayatikom are as mentioned. Primary taxonomy code for Sthorn Thatayatikom, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | ME114556 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Sthorn Thatayatikom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 007647400 | MEDICAID | FL | |
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 191, Provider Enrollment
Rockland, DE, 19732-0191
United States |
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| Phone Number : | 302-651-6212 |
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| Fax Number : | 302-651-4945 |
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Business Location:
Patients can refer following map for directions to
Sthorn Thatayatikom 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.