Jumrussirikul, Pitayadet
Jumrussirikul, Pitayadet is an individual health care provider with primary practice located at 5880 University Ave Ste 112 , West Des Moines IA 50266-8209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Jumrussirikul, Pitayadet can be contacted via phone (515) 633-3653.Contact Information
Primary practice address
5880 University Ave Ste 112
West Des Moines IA 50266-8209
Phone: (515) 633-3653
Fax: (515) 280-4630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36245 | Iowa |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 36245 | Iowa |
Profile Details
| NPI number | 1689656605 |
|---|---|
| LBN Legal business name | Jumrussirikul, Pitayadet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jun 14th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689656605 | NPPES |
| Iowa | Other | P00261211 | RAILROAD MEDICARE |
| Iowa | MEDICAID | 0463471 | RAILROAD MEDICARE |
| Iowa | Other | CD4547 | RAILROAD MEDICARE |
| Iowa | Other | P00261211 | RAILROAD MEDICARE |
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