Phalakornkul, Suganda

Phalakornkul, Suganda is an individual health care provider with primary practice located at 7901 Broadway Elmhurst Hospital Center , Rm B2-01, Elmhurst NY 11373-1329. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Phalakornkul, Suganda can be contacted via phone (718) 334-6023.

Contact Information

Primary practice address
7901 Broadway Elmhurst Hospital Center , Rm B2-01 Elmhurst NY 11373-1329
Phone: (718) 334-6023
Fax: (718) 334-6019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NYX0014701 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X NYX0014701 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X NYSX0014701 New York

Profile Details

NPI number 1457443988
LBN Legal business name Phalakornkul, Suganda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Sep 15th, 2008 - about 16 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 1457443988 NPPES
New York MEDICAID 02218202

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