Provider Demographics
NPI:1760425383
Name:SITBURANA, ORAWAN (MD)
Entity Type:Individual
Prefix:
First Name:ORAWAN
Middle Name:
Last Name:SITBURANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GOLDEN SPAR PL
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2431
Mailing Address - Country:US
Mailing Address - Phone:310-347-7167
Mailing Address - Fax:310-750-6750
Practice Address - Street 1:11109 MCGIRK AVE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1623
Practice Address - Country:US
Practice Address - Phone:626-731-4870
Practice Address - Fax:310-547-9083
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA722192080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology