Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIRANDON WONGSURAWAT, MD
Active Sole ProprietorDR. NIRANDON WONGSURAWAT, MD is a Endocrinology, Diabetes & Metabolism healthcare provider located in FENTON, Missouri. NPI 1376656116 is currently active in the NPPES registry. Verify at CMS.
Endocrinology, Diabetes & Metabolism · FENTON, MO
Registration Details
- NPI Number
- 1376656116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (19.964986229143 yrs)
- Last Updated
- Jun 29, 2010
- License
-
MD34919 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 BOWLES AVEFENTON, MO, 630261530Browse MO providers · Browse ZIP 63026
- Phone
- 6365668155
- Fax
- 3149660323
- Primary Specialty
-
Endocrinology, Diabetes & Metabolism
207RE0101X
Other Endocrinology, Diabetes & Metabolism Providers in FENTON, MO
| Name | Credential | NPI |
|---|---|---|
| PRATIBHA MARY ABRAHAM | MD | 1336589118 |
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.