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

Sakolwan Suchartlikitwong, MD

Individual provider Internal Medicine Physician · NPI 1790136471

Sakolwan Suchartlikitwong, MD is a Gastroenterology in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2016
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

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837
Phone: (602) 521-5180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E McDowell Rd, Phoenix, AZ 85006-2612 — (602) 839-3107

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 65103 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 65103 (AZ)

Record details

NPI number1790136471
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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