Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEDHA SUWANAWONGSE, MD
Active Sole ProprietorGeneral Surgery · HERRIN, IL
Registration Details
- NPI Number
- 1366452443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.749744280088 yrs)
- Last Updated
- Jul 23, 2008
- License
-
036087814 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 N 13TH STHERRIN, IL, 629483248Browse IL providers · Browse ZIP 62948
- Phone
- 6189886025
- Fax
- 6189886024
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in HERRIN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT JUDSON BREWER | M.D. | 1457355315 |
| RODNEY LEE MILLER | MD | 1750382396 |
| ANTONI J KOS | MD | 1548205222 |
| DR. WATANACHAI SUJATANOND | — | 1548344997 |
| DR. BRETT MICHAEL DEMPSEY | MD | 1659599538 |
| KRISTINA MARIE POTANOS | MD | 1134393267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.