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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1366650236 | NPPES |
| Florida | MEDICAID | 007298300 |
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