Individual provider · Type 1 NPI

Ekamol Tantisattamo, MD

Nephrology Physician · Orange, CA

NPI number 1104053024 Active

Practice location

101 The City Dr S Bldg 30
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219

Other practice locations

  • 3535 W 13 Mile Rd, # 644, Royal Oak, MI 48073-6770 · (248) 551-2594

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X5680 (HI)
Nephrology Physician Primary 207RN0300XA151885 (CA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1104053024

Ekamol Tantisattamo, MD's National Provider Identifier is 1104053024, issued on Jun 18, 2009. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Orange, CA. The record was last updated on Mar 30, 2023.