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DR. SURAPHANDHU SRIVATHANAKUL M.D
NPI 1912127127
Specialist in Dallas, TX

Active since April 27, 2007
2630 N FITZHUGH AVE, DALLAS, TX 75204(214) 826-6420(214) 826-6739 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Suraphandhu Srivathanakul M.d NPPES

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

DR. SURAPHANDHU SRIVATHANAKUL M.D (NPI 1912127127) is an individual specialist in Dallas, Texas, licensed in Texas (E7288) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1912127127
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SURAPHANDHU SRIVATHANAKULCredential: M.D
Location Address2630 N FITZHUGH AVEDallas, TX 75204-3366
Mailing Address2630 N Fitzhugh AveDallas, TX 75204-3366 · (214) 826-6420 · Fax (214) 826-6739
Phone(214) 826-6420
Fax(214) 826-6739
Sole ProprietorYes
Enumeration DateApril 27, 2007
Last NPPES UpdateMarch 30, 2009
✔ NPI 1912127127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · E7288
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2630 N FITZHUGH AVE, Dallas, TX 75204
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Other Identifiers 2

Medicaid1202772-01TX
Medicare ID-Type Unspecified00BB68TX

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 Suraphandhu Srivathanakul's NPI number?

The NPI number for Suraphandhu Srivathanakul is 1912127127. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Where is Suraphandhu Srivathanakul located?

Suraphandhu Srivathanakul practices at 2630 N Fitzhugh Ave, Dallas, TX 75204. The listed phone number is (214) 826-6420.

What is Suraphandhu Srivathanakul's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Suraphandhu Srivathanakul was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.