Wattanakit, Keattiyoat

Wattanakit, Keattiyoat is an individual health care provider with primary practice located at 5405 N Knoxville Ave , Peoria IL 61614. He recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wattanakit, Keattiyoat can be contacted via phone (309) 691-4410.

Contact Information

Primary practice address
5405 N Knoxville Ave Peoria IL 61614
Phone: (309) 691-4410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036126173 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036126173 Illinois
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 036126173 Illinois

Profile Details

NPI number 1407821077
LBN Legal business name Wattanakit, Keattiyoat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 28th, 2025 - about last year

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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