Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKDEJ NIKOMBORIRAK, M.D.
Active Sole ProprietorJAKDEJ NIKOMBORIRAK, M.D. is a Sports Medicine (IM) healthcare provider located in SUNNYSIDE, Washington. NPI 1477542447 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · SUNNYSIDE, WA
Registration Details
- NPI Number
- 1477542447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.856030316383 yrs)
- Last Updated
- Dec 12, 2025
- Licenses
-
MD00036445 (WA)MD00036445 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1013 E EDISON AVESUNNYSIDE, WA, 989441115Browse WA providers · Browse ZIP 98944
- Phone
- 5098371587
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
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.