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MEDHA SUWANAWONGSE MD
NPI 1366452443
Surgery in Herrin, IL

Active since August 09, 2006
121 N 13TH ST, HERRIN, IL 62948(618) 988-6025(618) 988-6024 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medha Suwanawongse Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDHA SUWANAWONGSE MD (NPI 1366452443) is an individual surgery provider in Herrin, Illinois, licensed in Illinois (036087814) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366452443
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMEDHA SUWANAWONGSECredential: MD
Location Address121 N 13TH STHerrin, IL 62948-3248
Mailing AddressPo Box 129, 121 North 13th StreetHerrin, IL 62948-0129 · (618) 988-6025 · Fax (618) 988-6024
Phone(618) 988-6025
Fax(618) 988-6024
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 23, 2008
✔ NPI 1366452443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036087814
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
121 N 13TH ST, Herrin, IL 62948
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Other Names 1

Other Name (5)Mehta Suwana Md

Other Identifiers 7

Medicare UPINB03166
Medicare PIN624790
Other621141230AIL · Health Alliance
Medicaid036087814IL
Other020048410Medicare Railroad
Other09127249Bcbs
Other259925IL · Healthlink

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERRIN PEDIATRICS
Pediatrics
121 N 13TH ST
HERRIN, IL 62948
Williamson County (618) 988-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medha Suwanawongse's NPI number?

The NPI number for Medha Suwanawongse is 1366452443. It was assigned to this individual provider in the NPPES registry on August 9, 2006. The provider is also known as Mehta Suwana MD.

Where is Medha Suwanawongse located?

Medha Suwanawongse practices at 121 N 13th St, Herrin, IL 62948. The listed phone number is (618) 988-6025.

What is Medha Suwanawongse's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Medha Suwanawongse was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.