Kongpakpaisarn, Kullatham
Kongpakpaisarn, Kullatham is an individual health care provider with primary practice located at 11511 Ne 10Th St , Bellevue WA 98004-8578. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kongpakpaisarn, Kullatham can be contacted via phone (425) 502-3000.Contact Information
Primary practice address
11511 Ne 10Th St
Bellevue WA 98004-8578
Phone: (425) 502-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD61436567 | Washington |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 61436567 | Washington |
Profile Details
| NPI number | 1174972624 |
|---|---|
| LBN Legal business name | Kongpakpaisarn, Kullatham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2016 |
| Last updated | Oct 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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