Individual provider · Type 1 NPI

Keattiyoat Wattanakit, MD

Cardiovascular Disease Physician · Peoria, IL

NPI number 1407821077 Active

Practice location

5405 N Knoxville Ave
Peoria, IL 61614

Call (309) 691-4410 Map

Mailing address

PO Box 9382
Peoria, IL 61612-9382

Specialties and licenses

TaxonomyCodeLicense
Computed Tomography Radiologic Technologist 2471C3401XNone listed
Cardiovascular Disease Physician Primary 207RC0000X036126173 (IL)
Internal Medicine Physician 207R00000X036126173 (IL)
Nuclear Cardiology Physician 207UN0901X036126173 (IL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1407821077

Keattiyoat Wattanakit, MD's National Provider Identifier is 1407821077, issued on Feb 17, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Peoria, IL. The record was last updated on Apr 28, 2025.