Dr. Teerawit Supakorndej, MD
Dermatology in Mill Creek, WA. Individual provider (NPI-1).
NPI number1336599208
StatusActive
Last updated in NPPESJul 9, 2026
Details
- NPI
- 1336599208
- Entity type
- Individual (NPI-1)
- Name
- Dr. Teerawit Supakorndej
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2016
- Certification date
- Jul 9, 2026
- Last updated
- Jul 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD61047461 | WA | Yes |
| 207R00000X | Internal Medicine | 2016018207 | MO |
Other names
- Tim Supakorndej (Other Name)
Practice location
15418 Main StMill Creek, WA 98012-9030
Phone 425-339-5417
Mailing address
7600 Evergreen WayEverett, WA 98203-6421
Phone 206-860-5414
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dermatology Physician providers in Mill Creek, WA
- Katrina Bassett, M.D.NPI 1700050317
- Ian Ferguson, MDNPI 1467912550
- Navid David Malakouti, M.D.NPI 1437578051
- North Sound Dermatology P.C., INC.NPI 1548426885
- Hyunhee Park, D.O.NPI 1477874311
- Joy C Wu, D.O.NPI 1255303632
All 7 Dermatology Physician providers in Mill Creek · All 722 providers in Mill Creek
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.