Mingbunjerdsuk, Dararat
Mingbunjerdsuk, Dararat is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Mingbunjerdsuk, Dararat can be contacted via phone (216) 844-3691.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-3691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | A92768 | California |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 35-093581 | Ohio |
Profile Details
| NPI number | 1154501989 |
|---|---|
| LBN Legal business name | Mingbunjerdsuk, Dararat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | May 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154501989 | NPPES |
| California | Other | 00A869820 | MEDICARE |
| California | MEDICAID | 00A869820 | MEDICARE |
| California | MEDICAID | 2995540 | MEDICARE |
| California | Other | 113678 | MEDICARE |
| California | MEDICAID | 1025735520001 | MEDICARE |
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