SITTILERK TRIKALSARANSUKH; NPI #1093728800

Contact Information

SITTILERK TRIKALSARANSUKH

7114 W HOOD PL
KENNEWICK, WA 99336-6712

Phone: 509-734-4885
Fax: 509-734-2576
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for SITTILERK TRIKALSARANSUKH

NPI # 1093728800

LBN Legal business name SITTILERK TRIKALSARANSUKH

Authorized official JANE SILVEY - (ADMINISTRATIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/14/2006

Last updated 03/09/2010 - About 16 years ago

Identifiers

WA	Medicaid	1087543
WA	Medicaid	7105778
WA	Medicaid	7107584
WA	Medicaid	8428732
WA	Other	7527172	AETNA GROUP NUMBER
WA	Other	5980382	AETNA SITTI MD
WA	Other	7605381	AETNA VONG MD
WA	Other	6500TR	ASURIS GROUP NUMBER
WA	Other	3860TR	ASURIS SITTI MD
WA	Other	1017VA	ASURIS VONG MD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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