Dr. Sudjai Itsara
M.D. | Pediatrics | Female
Dr. Sudjai Itsara, M.D. is a Modesto, California based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Sudjai Itsara is also known as
Sudjai Chaiamnuay.
Current practice location of Dr. Sudjai Itsara is
305 E Granger Ave Ste 201, Modesto, California - 95350-4344. She can be contacted on phone at
209-526-3336 and fax number 209-526-3316.
Dr. Sudjai Itsara is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Sudjai Itsara is
1699767400 which was assigned by NPPES on 17 Aug, 2005 and it was last updated on 08 Jul, 2007.
Dr. Sudjai Itsara license number is
A38082 for Pediatrics (208000000X) in California.
Dr. Sudjai Itsara 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. Sudjai Itsara basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Sudjai Itsara |
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| Other Name : | Sudjai Chaiamnuay |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Sudjai Itsara 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 : | 305 E Granger Ave Ste 201
Modesto, CA, 95350-4344
United States |
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| Phone Number : | 209-526-3336 |
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| Fax Number : | 209-526-3316 |
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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 : | 1699767400 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Aug, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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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. Sudjai Itsara are as mentioned. Primary taxonomy code for Dr. Sudjai Itsara, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A38082 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sudjai Itsara such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A380820 | MEDICAID | CA | |
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 : | 305 E Granger Ave Ste 201
Modesto, CA, 95350-4344
United States |
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| Phone Number : | 209-526-3336 |
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| Fax Number : | 209-526-3316 |
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Business Location:
Patients can refer following map for directions to
Dr. Sudjai Itsara 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.