Provider Demographics
NPI:1649030164
Name:PRADITUKRIT, KULSATREE (MD)
Entity type:Individual
Prefix:
First Name:KULSATREE
Middle Name:
Last Name:PRADITUKRIT
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 1:105/6 PREUKSACHATSANSUK VILLAGE
Mailing Address - Street 2:RAMKHUMHAENG 118, SAPHANSUNG
Mailing Address - City:BANGKOK
Mailing Address - State:ZZ - FOREIGN COUNTRIES
Mailing Address - Zip Code:10240
Mailing Address - Country:TH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105/6 PREUKSACHATSANSUK VILLAGE
Practice Address - Street 2:RAMKHUMHAENG 118, SAPHANSUNG
Practice Address - City:BANGKOK
Practice Address - State:ZZ - FOREIGN COUNTRIES
Practice Address - Zip Code:10240
Practice Address - Country:TH
Practice Address - Phone:323-712-6714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer