Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60528251 | WA |
N | 111NI0900X | Internist | MD60528251 | WA |
N | 207SG0201X | Clinical Genetics (M.D.) | MD60528251 | WA |
NPI | 1336370758 |
---|---|
Provider Name | Dr. Sirisak Chanprasert |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2009 |
Last Update Date | 03/11/2017 |