Kankirawatana, Suthida

Kankirawatana, Suthida is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Kankirawatana, Suthida can be contacted via phone (205) 939-5284.

Contact Information

Primary practice address
1600 7Th Ave S Birmingham AL 35233-1711
Fax: (205) 975-7080
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 27089 Alabama

Profile Details

NPI number 1134239148
LBN Legal business name Kankirawatana, Suthida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 13th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134239148 NPPES
Alabama MEDICAID 009935937
Alabama MEDICAID 009935927

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