Provider Demographics
NPI:1386965580
Name:KIJSIRICHAREANCHAI, KUNUT (MD)
Entity type:Individual
Prefix:
First Name:KUNUT
Middle Name:
Last Name:KIJSIRICHAREANCHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 DELAFIELD RD STE 2005
Mailing Address - Street 2:UPMC GASTROENTEROLOGY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 DELAFIELD RD STE 2005
Practice Address - Street 2:UPMC GASTROENTEROLOGY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3234
Practice Address - Country:US
Practice Address - Phone:412-784-1110
Practice Address - Fax:412-784-1181
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD9705207RG0100X, 207RG0100X
PAMD475570207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology