DR. SUDJAI ITSARA M.D.
NPI 1699767400
Pediatrics in Modesto, CA

Q: What is Sudjai Itsara's NPI number?

The NPI number for Sudjai Itsara is 1699767400. It was assigned to this individual provider in the NPPES registry on August 17, 2005. The provider is also known as Dr. Sudjai Chaiamnuay M.D..

Q: What is Sudjai Itsara's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sudjai Itsara was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 17, 2005

305 E GRANGER AVE STE 201, MODESTO, CA 95350(209) 526-3336(209) 526-3316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Sudjai Itsara M.d. NPPES

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

DR. SUDJAI ITSARA M.D. (NPI 1699767400) is an individual pediatrics provider in Modesto, California, licensed in California (A38082) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1699767400

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SUDJAI ITSARACredential: M.D.

Location Address305 E GRANGER AVE STE 201Modesto, CA 95350-4344

Mailing Address305 E Granger Ave Ste 201Modesto, CA 95350-4344 · (209) 526-3336 · Fax (209) 526-3316

Phone(209) 526-3336

Fax(209) 526-3316

Sole ProprietorYes

Enumeration DateAugust 17, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699767400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A38082

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

305 E GRANGER AVE STE 201, Modesto, CA 95350

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Other Names 1

Former Name (1)Dr. Sudjai Chaiamnuay M.d.

Other Identifiers 2

Medicare UPINF99836CA

Medicaid00A380820CA

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 Sudjai Itsara's NPI number?

The NPI number for Sudjai Itsara is 1699767400. It was assigned to this individual provider in the NPPES registry on August 17, 2005. The provider is also known as Dr. Sudjai Chaiamnuay M.D..

Where is Sudjai Itsara located?

Sudjai Itsara practices at 305 E Granger Ave Ste 201, Modesto, CA 95350. The listed phone number is (209) 526-3336.

What is Sudjai Itsara's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sudjai Itsara was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.