Thatayatikom, Akaluck

Thatayatikom, Akaluck is an sole proprietor health care provider with primary practice located at 2501 N Orange Ave Ste 586 , Orlando FL 32804-4603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Thatayatikom, Akaluck can be contacted via phone (407) 821-3545.

Contact Information

Primary practice address
2501 N Orange Ave Ste 586 Orlando FL 32804-4603
Phone: (407) 821-3545
Fax: (407) 821-3546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 2006035310 Missouri
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X ME114452 Florida

Profile Details

NPI number 1366650236
LBN Legal business name Thatayatikom, Akaluck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Dec 13th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366650236 NPPES
Florida MEDICAID 007298300

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