Suthin Songcharoen in Madison - Specialist

Suthin Songcharoen - NPI 1255329371

Suthin Songcharoen is a Specialist in Madison, Mississippi. Suthin Songcharoen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Suthin Songcharoen is 1255329371. The last update date is 2009-08-11.

Suthin Songcharoen's current location address is 2 Deerfield Dr, Madison, Mississippi. You can contact this provider via phone number 6018567372 and fax number 6014205482. The mailing address for Suthin Songcharoen is 2 Deerfield Dr, Madison, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Suthin Songcharoen
Address 2 Deerfield Dr, Madison, Mississippi
Phone Number 6018567372
Fax Number 6014205482
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1255329371
Provider Enumeration Date 2005-10-12
Last Updated Date 2009-08-11

Provider Mailing Address Detail

Address 2 Deerfield Dr
City Madison
State Mississippi (MS)
Post Code 391109749
Phone Number 6018567372
Fax Number 6014205482

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 7163
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CK7048 MEDICARE RAILROAD GROUP
119405 MS --
C03036 MEDICARE PTAN
660002223 MEDICARE RAILROAD

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FAQs about Suthin Songcharoen

What is the unique 10-digit identifier code issued to Suthin Songcharoen by the Centers for Medicare & Medicaid Services?

The Suthin Songcharoen has been assigned the NPI (National Provider Identifier) 1255329371 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Suthin Songcharoen?

The Suthin Songcharoen is situated at 2 Deerfield Dr, in the city of Madison, state of MS, with the zip code 391109749.

What is the Suthin Songcharoen's area of specialization and corresponding taxonomy classification?

The Suthin Songcharoen's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Suthin Songcharoen receive the assignment of its 1255329371 from the Centers for Medicare & Medicaid Services?

The Suthin Songcharoen was issued its 1255329371 by the Centers for Medicare & Medicaid Services on 2005-10-12.

As of what date was the information pertaining to Suthin Songcharoen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Suthin Songcharoen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-11.

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