National Provider Identifier Database

AKALUCK THATAYATIKOM, MD – NPI #1366650236
Pediatric Rheumatology

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

AKALUCK THATAYATIKOM, MD
2501 N ORANGE AVE STE 586
ORLANDO, FL32804-4603
Phone: 407-821-3545
Fax: 407-821-3546
Website:
Specialty Taxonomy Code
* Pediatric Rheumatology 2080P0216X
Pediatric Endocrinology 2080P0205X

* Indicates primary specialty

NPI Profile & details for AKALUCK THATAYATIKOM

NPI Number 1366650236
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 12/13/2021 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ME114452
  • MO License #: 2006035310
  • FL Medicaid: 007298300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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