Supak Sookkasikon in Bloomfield Township - Family Medicine
Supak Sookkasikon - NPI 1649376922
Supak Sookkasikon is a Family Medicine in Bloomfield Township, Michigan. Supak Sookkasikon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Supak Sookkasikon is 1649376922. The last update date is 2014-02-28.
Supak Sookkasikon's current location address is 4050 W Maple Rd, Bloomfield Township, Michigan. You can contact this provider via phone number 2488858211 and fax number 2488858357. The mailing address for Supak Sookkasikon is 4050 W Maple Rd, Bloomfield Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Supak Sookkasikon |
|---|---|
| Address | 4050 W Maple Rd, Bloomfield Township, Michigan |
| Phone Number | 2488858211 |
| Fax Number | 2488858357 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649376922 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2014-02-28 |
Provider Mailing Address Detail
| Address | 4050 W Maple Rd |
|---|---|
| City | Bloomfield Township |
| State | Michigan (MI) |
| Post Code | 483013148 |
| Phone Number | 2488858211 |
| Fax Number | 2488858357 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301083253 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5315028426 | MI | CONTROLLED SUBSTANCE |
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What is the unique identifier code issued to Supak Sookkasikon by the Centers for Medicare & Medicaid Services?
The Supak Sookkasikon has been assigned the NPI (National Provider Identifier) 1649376922. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Supak Sookkasikon located?
The Supak Sookkasikon is located at 4050 W Maple Rd, Bloomfield Township, MI 483013148.
What is the Supak Sookkasikon's specialty and taxonomy code?
The Supak Sookkasikon's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Supak Sookkasikon's 1649376922 issued?
The Supak Sookkasikon's 1649376922 was issued on 2006-09-15.
When was the information regarding Supak Sookkasikon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Supak Sookkasikon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-28.
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