Rodsuwan, Tom Chalermchai

Rodsuwan, Tom Chalermchai is an individual health care provider with primary practice located at 2400 Hospital Dr Suite 130, Bossier City LA 71111-2385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rodsuwan, Tom Chalermchai can be contacted via phone (318) 212-7990.

Contact Information

Primary practice address
2400 Hospital Dr Suite 130 Bossier City LA 71111-2385
Phone: (318) 212-7990
Fax: (318) 212-7995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 022753 Louisiana

Profile Details

NPI number 1124111539
LBN Legal business name Rodsuwan, Tom Chalermchai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Feb 15th, 2017 - about 7 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 1124111539 NPPES
Louisiana MEDICAID 1495514

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