Medha Suwanawongse, MD

NPI #1366452443 in Herrin, Illinois

Provider Information

NPI Number: 1366452443
Entity Type: Individual
Name: Medha Suwanawongse, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 9, 2006
Last Updated: Jul 23, 2008

Practice Location

Address: 121 N 13TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-3248
Phone: (618) 988-6025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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