Suksompoth, Kanokrat
Suksompoth, Kanokrat is an individual health care provider with primary practice located at 255 E Bonita Ave Bldg 1B , Pomona CA 91767-1923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Suksompoth, Kanokrat can be contacted via phone (909) 275-7470.Contact Information
Primary practice address
255 E Bonita Ave Bldg 1B
Pomona CA 91767-1923
Phone: (909) 275-7470
Fax: (909) 971-4532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35749 | Arizona |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | A96983 | California |
Profile Details
| NPI number | 1831109131 |
|---|---|
| LBN Legal business name | Suksompoth, Kanokrat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Sep 3rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831109131 | NPPES |
| Arizona | Other | 117346 | HEALTH CHOICE OF AZ |
| Arizona | MEDICAID | 117346 | HEALTH CHOICE OF AZ |
| Arizona | Other | 2Z7810 | HEALTH CHOICE OF AZ |
| Arizona | Other | 7789806 | HEALTH CHOICE OF AZ |
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