Surapipith, Pongchayut
Surapipith, Pongchayut is an individual health care provider with primary practice located at 401 S Ballenger Hwy , Flint MI 48532-3638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Surapipith, Pongchayut can be contacted via phone (810) 342-1000.Contact Information
Primary practice address
401 S Ballenger Hwy
Flint MI 48532-3638
Phone: (810) 342-1000
Fax: (810) 342-1590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301044139 | Michigan |
Profile Details
| NPI number | 1003877481 |
|---|---|
| LBN Legal business name | Surapipith, Pongchayut |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003877481 | NPPES |
| Michigan | Other | 1008625 | HEALTH ADVANTAGE |
| Michigan | MEDICAID | 4525121 | HEALTH ADVANTAGE |
| Michigan | Other | 1008625 | HEALTH ADVANTAGE |
| Michigan | Other | A78286 | HEALTH ADVANTAGE |
| Michigan | Other | 0202510851 | HEALTH ADVANTAGE |
| Michigan | MEDICAID | 4735595 | HEALTH ADVANTAGE |
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