Mitrakul, Satu
Mitrakul, Satu is an individual health care provider with primary practice located at 2177 Oak Tree Rd Suite 204, Edison NJ 08820-1082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mitrakul, Satu can be contacted via phone (908) 686-9330.Contact Information
Primary practice address
2177 Oak Tree Rd Suite 204
Edison NJ 08820-1082
Phone: (908) 686-9330
Fax: (908) 769-4736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA24685 | New Jersey |
Profile Details
| NPI number | 1619930104 |
|---|---|
| LBN Legal business name | Mitrakul, Satu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619930104 | NPPES |
| New Jersey | MEDICAID | 4571908 |
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