Subhasiriwat, Man

Subhasiriwat, Man is an individual health care provider with primary practice located at 1500 S Lake Park Ave , Hobart IN 46342-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Subhasiriwat, Man can be contacted via phone (219) 934-5300.

Contact Information

Primary practice address
1500 S Lake Park Ave Hobart IN 46342-6638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01018059 Indiana

Profile Details

NPI number 1508819665
LBN Legal business name Subhasiriwat, Man
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 7th, 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 1508819665 NPPES
Indiana MEDICAID 100346680A

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