person
Pornchai Jonglertham, MD
Hematology & Oncology Physician in Hastings, Nebraska
NPI 1265567242

Pornchai Jonglertham is a Hematology & Oncology Physician based in Hastings, NE and is specialized in Hematology & Oncology. Pornchai Jonglertham practices in Hastings, NE and has the professional credentials of MD. The NPI Number for Pornchai Jonglertham is 1265567242 and holds a License No. 15910 (Nebraska).

The current practice location address for Pornchai Jonglertham is 815 N Kansas Ave, Hastings, NE and can be reached out via phone at 402-460-5899 and via fax at 402-460-5898.

Location: 815 N Kansas Ave, Hastings, NE, 68901-4470
person
Provider Profile Details
NPI Number
1265567242
Provider Name
Pornchai Jonglertham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 N Kansas Ave, Hastings, NE, 68901-4470
Phone Number
402-460-5899
Fax Number
402-460-5898
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00195 01 NE BC/BS INDIVIDUAL NUMBER
P00436187 01 RAILROAD MEDICARE PTAN
195586603 05 TX
195586601 05 TX
195586602 05 TX
252609 01 MIDLANDS CHOICE
institution
Provider Business Practice Location Address Details
Address
815 N Kansas Ave
City
State
Zip
68901-4470
Phone Number
402-460-5899
Fax Number
402-460-5898
person
Provider Business Mailing Address Details
Address
815 N Kansas Ave
City
State
Zip
68901-4470
Phone Number
402-460-5899
Fax Number
402-460-5898
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
15910 (Mississippi)
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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