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

Thamolwan Surakiatchanukul, MD

Individual provider Internal Medicine Physician · NPI 1902398415

Thamolwan Surakiatchanukul, MD is an Ophthalmology in Lebanon, New Hampshire. Qualified in 2018, 8 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
8
Licensed in
MA, NH
In the registry since
2018
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

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone: (603) 650-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Lincoln St, Framingham, MA 01702-6358 — (508) 383-1555

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 24962 (NH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 272887 (MA)

Record details

NPI number1902398415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESJuly 12, 2024
Certification dateJune 6, 2024

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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