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Dr. Pramern Sriratana, MD
Hematology & Oncology Physician in Normal, Illinois
NPI 1174522189

Pramern Sriratana is a Hematology & Oncology Physician based in Normal, IL and is specialized in Hematology & Oncology. Pramern Sriratana practices in Normal, IL and has the professional credentials of MD. The NPI Number for Pramern Sriratana is 1174522189 and holds a License No. 036050943 (Illinois).

The current practice location address for Pramern Sriratana is 1606 Hunt Dr, Normal, IL and can be reached out via phone at 309-452-9701 and via fax at 309-454-1957.

Location: 1606 Hunt Dr, Normal, IL, 61761-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174522189
Provider Name
Pramern Sriratana
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1606 Hunt Dr, Normal, IL, 61761-2192
Phone Number
309-452-9701
Fax Number
309-454-1957
Provider Enumeration Date
07/20/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036050943 05 IL
institution
Provider Business Practice Location Address Details
Address
1606 Hunt Dr
City
Normal
State
Illinois
Zip
61761-2192
Phone Number
309-452-9701
Fax Number
309-454-1957
person
Provider Business Mailing Address Details
Address
1606 Hunt Dr
City
Normal
State
Illinois
Zip
61761-2192
Phone Number
309-452-9701
Fax Number
309-454-1957
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036050943 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036050943 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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