Khongruk Wongkittiroch
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 1 more
2838 E Oakland Park Blvd Ste 201
Fort Lauderdale
, Florida 33306-1814
Khongruk Wongkittiroch
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 1 more
2838 E Oakland Park Blvd Ste 201
Fort Lauderdale
, Florida 33306-1814
(954) 564-0040
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Khongruk Wongkittiroch
- 2838 E Oakland Park Blvd Ste 201
- Fort Lauderdale, FL
- Zip : 33306-1814
- Phone : (954) 564-0040
Second Address
- Khongruk Wongkittiroch
- 2838 E Oakland Park Blvd Ste 201
- Fort Lauderdale, FL
- Zip : 33306-1814
- Fax : (954) 564-0048
- Phone : (954) 564-0040
Reviews
FAQs
Where did Khongruk Wongkittiroch attend graduate school?
Where did Khongruk Wongkittiroch do her residency?
Where did Khongruk Wongkittiroch do her fellowship?
Is Khongruk Wongkittiroch board certified?
What type of doctor is Khongruk Wongkittiroch
In what state does Khongruk Wongkittiroch practice in?
Where is Khongruk Wongkittiroch ’s practice located?
What is Khongruk Wongkittiroch ’s gender?
Is Khongruk Wongkittiroch a sole practitioner?
Is Khongruk Wongkittiroch accepting new patients?
What languages does Khongruk Wongkittiroch speak?
Does Khongruk Wongkittiroch accept insurance?
Does Khongruk Wongkittiroch offers telemedicine?
What is Khongruk Wongkittiroch ’s professional license number?
What is Khongruk Wongkittiroch ’s NPI number?
Does Khongruk Wongkittiroch have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | OS11792 | FL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | OS11792 | FL |
| N | 207ND0900X | Dermatopathologist | OS11792 | FL |
| N | 207NP0225X | Pediatric Dermatologist | OS11792 | FL |
| N | 207NS0135X | Procedural Dermatology | OS11792 | FL |
National Provider Identifier
| NPI | 1205003068 |
|---|---|
| Provider Name | Khongruk Wongkittiroch |
| First Address | Fort Lauderdale, FL 33306-1814 |
| Second Address | Fort Lauderdale, FL 33306-1814 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2008 |
| Last Update Date | 18/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 261637814 | MULTI PLAN (01) | FL |
| 261637814 | UNITED HEALTHCARE (01) | FL |
| 28528 | BLUE CROSS BLUE SHIELD OF FLORIDA (01) | FL |
| 317129 | AVMED (01) | FL |
| 6375863 | CIGNA (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.