Muangman, Suphichaya

Muangman, Suphichaya is an individual health care provider with primary practice located at 1625 Straits Tpke Suite 209, Middlebury CT 06762-1836. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Muangman, Suphichaya can be contacted via phone (203) 758-9100.

Contact Information

Primary practice address
1625 Straits Tpke Suite 209 Middlebury CT 06762-1836
Phone: (203) 758-9100
Fax: (203) 758-9400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 043440 Connecticut

Profile Details

NPI number 1245398619
LBN Legal business name Muangman, Suphichaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 15th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245398619 NPPES
Connecticut MEDICAID 001434406
Connecticut Other 010043440CT02
Connecticut Other 3V0829
Connecticut Other 518685
Connecticut Other 1105253
Connecticut Other P00796456
Connecticut Other P3941581
Connecticut Other 043440
Connecticut MEDICAID 001153600
Connecticut Other 25-33213
Connecticut Other 7085716
Connecticut Other 25-33213

Popular Providers