Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pongchanok Pakdeesupapol, MD

Individual provider Internal Medicine Physician · NPI 1679992325

Dr. Pongchanok Pakdeesupapol, MD is an Internal Medicine in Las Vegas, Nevada. Graduated from University of Nevada School of Medicine in 2014, 12 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
12
Trained at
University of Nevada School of Medicine
Licensed in
CA, NV
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Phone: (702) 952-9171
Fax: (702) 952-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 — (702) 952-9171

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17040 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence A140027 (CA)

Record details

NPI number1679992325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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