Mongkolpradit, Mongkol

Mongkolpradit, Mongkol is an individual health care provider with primary practice located at 15332 Fort St , Southgate MI 48195-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mongkolpradit, Mongkol can be contacted via phone (734) 285-2255.

Contact Information

Primary practice address
15332 Fort St Southgate MI 48195-1304
Phone: (734) 285-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MM032063 Michigan

Profile Details

NPI number 1366435075
LBN Legal business name Mongkolpradit, Mongkol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2005
Last updated Jul 9th, 2007 - about 17 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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