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Dr. Prachak T Siriprakorn, MD
Specialist in Woodbridge, Virginia
NPI 1770678823

Prachak T Siriprakorn is a Specialist based in Oakton, VA. Prachak T Siriprakorn practices in Woodbridge, VA and has the professional credentials of MD. The NPI Number for Prachak T Siriprakorn is 1770678823 and holds a License No. 0101042285 (Virginia).

The current practice location address for Prachak T Siriprakorn is 1966 Opitz Blvd, Woodbridge, VA and can be reached out via phone at 703-491-2179.

Location: 1966 Opitz Blvd, Woodbridge, VA, 22124-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770678823
Provider Name
Prachak T Siriprakorn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1966 Opitz Blvd, Woodbridge, VA, 22124-0309
Phone Number
703-491-2179
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006000193 05 VA
institution
Provider Business Practice Location Address Details
Address
1966 Opitz Blvd
City
Woodbridge
State
Virginia
Zip
22191-3304
Phone Number
703-491-2179
Fax Number
person
Provider Business Mailing Address Details
Address
1966 Opitz Blvd
City
Woodbridge
State
Virginia
Zip
22191-3304
Phone Number
703-491-2179
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101042285 (Virginia)
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.
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