Bunnapradist, Suphamai

Bunnapradist, Suphamai is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste 565C , Los Angeles CA 90095-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bunnapradist, Suphamai can be contacted via phone (310) 267-2555.

Contact Information

Primary practice address
200 Ucla Medical Plz Ste 565C Los Angeles CA 90095-1865
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A65633 California

Profile Details

NPI number 1821076639
LBN Legal business name Bunnapradist, Suphamai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 17th, 2020 - about 4 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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