1205003068 Khongruk Wongkittiroch, D.O.

Dermatology Physician

Active

Basic Information

Full Name
Khongruk Wongkittiroch, D.O.
Gender
Female
Enumeration Date
May 12, 2008
Last Update
December 18, 2014

Practice Location

Address
2838 E OAKLAND PARK BLVD
STE 201
FORT LAUDERDALE, FL 333061814
Phone
(954) 564-0040
Fax
(954) 564-0048

Mailing Address

Address
2838 E OAKLAND PARK BLVD
STE 201
FORT LAUDERDALE, FL 333061814
Phone
(954) 564-0040

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dermatology Physician
207N00000X Dermatology OS11792 FL Primary
Clinical & Laboratory Dermatological Immunology Physician
Clinical & Laboratory Dermatological Immunology
207NI0002X Dermatology OS11792 FL No
Dermatopathology Physician
Dermatopathology
207ND0900X Dermatology OS11792 FL No
MOHS-Micrographic Surgery Physician
MOHS-Micrographic Surgery
207ND0101X Dermatology OS11792 FL No
Pediatric Dermatology Physician
Pediatric Dermatology
207NP0225X Dermatology OS11792 FL No
Procedural Dermatology Physician
Procedural Dermatology
207NS0135X Dermatology OS11792 FL No

Other Identifiers

Identifier Type State Issuer
28528 01 FL BLUE CROSS BLUE SHIELD OF FLORIDA
261637814 01 FL MULTI PLAN
317129 01 FL AVMED
261637814 01 FL UNITED HEALTHCARE
6375863 01 FL CIGNA

Frequently Asked Questions

What is Khongruk Wongkittiroch, D.O.'s NPI number?
Khongruk Wongkittiroch, D.O.'s NPI number is 1205003068.
Which doctor has NPI number 1205003068?
The doctor with NPI number 1205003068 is Khongruk Wongkittiroch, D.O..
What is Khongruk Wongkittiroch, D.O.'s practice address?
Khongruk Wongkittiroch, D.O.'s practice address is 2838 E OAKLAND PARK BLVD, STE 201, FORT LAUDERDALE, FL, 333061814.
Which doctor practices at 2838 E OAKLAND PARK BLVD, STE 201, FORT LAUDERDALE, FL, 333061814?
Khongruk Wongkittiroch, D.O. practices at 2838 E OAKLAND PARK BLVD, STE 201, FORT LAUDERDALE, FL, 333061814.
What is Khongruk Wongkittiroch, D.O.'s phone number?
Khongruk Wongkittiroch, D.O.'s phone number is (954) 564-0040.
Who is (954) 564-0040?
(954) 564-0040 is the phone number for Khongruk Wongkittiroch, D.O..
What is Khongruk Wongkittiroch, D.O.'s specialty?
Khongruk Wongkittiroch, D.O.'s specialty is Dermatology Physician.
What type of doctor is Khongruk Wongkittiroch, D.O.?
Khongruk Wongkittiroch, D.O. is a Dermatology Physician.
Is Khongruk Wongkittiroch, D.O. a Dermatology?
Yes, Khongruk Wongkittiroch, D.O. is a Dermatology.
Is Khongruk Wongkittiroch, D.O. still practicing?
Yes, Khongruk Wongkittiroch, D.O. is currently practicing.
Is Khongruk Wongkittiroch, D.O. accepting new patients?
Khongruk Wongkittiroch, D.O. may be accepting new patients. Please call their office at (954) 564-0040 to inquire about availability.
Is NPI 1205003068 still active?
Yes, NPI 1205003068 is currently active.
Where does Khongruk Wongkittiroch, D.O. practice?
Khongruk Wongkittiroch, D.O. practices in FORT LAUDERDALE, FL.
Is Khongruk Wongkittiroch, D.O. a male or female doctor?
Khongruk Wongkittiroch, D.O. is a female doctor.