Rasamimari, Phornphat

Rasamimari, Phornphat is an individual health care provider with primary practice located at 901 Macarthur Blvd Neonatology Department, Munster IN 46321-2901. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Rasamimari, Phornphat can be contacted via phone (219) 836-2022.

Contact Information

Primary practice address
901 Macarthur Blvd Neonatology Department Munster IN 46321-2901
Phone: (219) 836-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-098723 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-098723 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01060038A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01060038A Indiana

Profile Details

NPI number 1821075383
LBN Legal business name Rasamimari, Phornphat
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 28th, 2021 - about 3 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 1821075383 NPPES
Indiana MEDICAID 200510260
Indiana Other 000000964820
Indiana Other M471400271

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