MEDHA SUWANAWONGSE, MD

Surgery

Active Individual
NPI: 1366452443

Practice Address

121 N 13TH ST
Herrin, IL 62948

Phone: (618) 988-6025

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 036087814 (IL)

Frequently Asked Questions

NPI 1366452443 is the National Provider Identifier for MEDHA SUWANAWONGSE, MD, a Surgery provider located in Herrin, IL. This NPI was enumerated on August 9, 2006.
MEDHA SUWANAWONGSE, MD practices at 121 N 13TH ST, Herrin, IL 62948.

Quick Facts

NPI
1366452443
Type
Individual
Enumerated
Aug 9, 2006
Last Updated
Jul 23, 2008

Nearby Providers