Supakul, Nucharin
Supakul, Nucharin is an sole proprietor health care provider with primary practice located at 550 University Blvd Room 0279, Indianapolis IN 46202-5149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Supakul, Nucharin can be contacted via phone (317) 944-1816.Contact Information
Primary practice address
550 University Blvd Room 0279
Indianapolis IN 46202-5149
Phone: (317) 944-1816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 110155624 | Indiana |
Profile Details
| NPI number | 1205140431 |
|---|---|
| LBN Legal business name | Supakul, Nucharin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2010 |
| Last updated | Mar 5th, 2021 - about 4 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 | 1205140431 | NPPES |
| Indiana | MEDICAID | 201125210 |
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