IndividualActive
Thana Krisdakumtorn, DPM
NPI 1487765863 · Sports Medicine Podiatrist · Palo Alto, CA
Provider details
- NPI number
- 1487765863
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- E4241 (CA)
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.