Bunyapen, Chantrapa

Bunyapen, Chantrapa is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bunyapen, Chantrapa can be contacted via phone (706) 721-2331.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Fax: (706) 721-7531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 019243 Georgia

Profile Details

NPI number 1861502585
LBN Legal business name Bunyapen, Chantrapa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 30th, 2011 - about 13 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 1861502585 NPPES
Georgia MEDICAID 000177295A
Georgia MEDICAID 330487

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