| Doctor Name: | NIRANAT DEJTIRANUKUL |
| NPI Number: | 1013049212 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036-050750 |
| Business Practice Address: | 800 E Locust St Olney, IL - 624502553 |
| Business Phone Number: | 6183957340 |
| Business Fax Number: | |
| Mailing Address: | Po Box 97, OLNEY |
| State: | IL |
| Postal Code: | 624500097 |
| Phone Number: | 6183957340 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 10/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0602X |
| License Number: | 036-050750 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngic Allergy |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |