Suttiratana, Pimpa

Suttiratana, Pimpa is an individual health care provider with primary practice located at Hc68 Box 1000 Suite 3 Community Health Foundation Of Logan, Logan WV 25601-9620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Suttiratana, Pimpa can be contacted via phone (304) 239-3888.

Contact Information

Primary practice address
Hc68 Box 1000 Suite 3 Community Health Foundation Of Logan Logan WV 25601-9620
Phone: (304) 239-3888
Fax: (304) 239-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12253 West Virginia

Profile Details

NPI number 1881650026
LBN Legal business name Suttiratana, Pimpa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1881650026 NPPES
West Virginia MEDICAID 0094391000

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