Boonsiri, Manoo

Boonsiri, Manoo is an sole proprietor health care provider with primary practice located at 10501 Telegraph Rd Suite 102, Taylor MI 48180-3375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Boonsiri, Manoo can be contacted via phone (313) 295-7822.

Contact Information

Primary practice address
10501 Telegraph Rd Suite 102 Taylor MI 48180-3375
Phone: (313) 295-7822
Fax: (734) 241-3350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35446 Michigan

Profile Details

NPI number 1366575839
LBN Legal business name Boonsiri, Manoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366575839 NPPES
Michigan Other 3305801051 BCBS OF MI

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