Individual provider · Type 1 NPI

Nuttha Siriwatanakul, MD

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1174373492 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Call (607) 547-3456 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X341587 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174373492

Nuttha Siriwatanakul, MD's National Provider Identifier is 1174373492, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Aug 12, 2026.