Wongjittraporn, Suwarat
Wongjittraporn, Suwarat is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wongjittraporn, Suwarat can be contacted via phone (803) 771-1788.Contact Information
Primary practice address
129 N Washington St
Sumter SC 29150-4949
Phone: (803) 771-1788
Fax: (803) 774-9113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 36659 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-2059 | Guam |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-2059 | Guam |
Profile Details
| NPI number | 1619263134 |
|---|---|
| LBN Legal business name | Wongjittraporn, Suwarat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2011 |
| Last updated | Jul 31st, 2017 - about 8 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 | 1619263134 | NPPES |
| South Carolina | Other | SC3808 | MEDICARE |
| South Carolina | MEDICAID | 366598 | MEDICARE |
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