Phornphat Rasamimari in Munster - Neonatal-perinatal Medicine

Phornphat Rasamimari - NPI 1821075383

Phornphat Rasamimari is a Neonatal-perinatal Medicine in Munster, Indiana. Phornphat Rasamimari practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Phornphat Rasamimari is 1821075383. The last update date is 2021-04-28.

Phornphat Rasamimari's current location address is 9201 Calumet Ave, Munster, Indiana. You can contact this provider via phone number 2198362022 and fax number 2198360034. The mailing address for Phornphat Rasamimari is 9201 Calumet Ave, Munster, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Phornphat Rasamimari
Address 9201 Calumet Ave, Munster, Indiana
Phone Number 2198362022
Fax Number 2198360034
Sole Proprietor N
Credentials M.D., MPH

NPI Number Detail

NPI Number 1821075383
Provider Enumeration Date 2005-12-27
Last Updated Date 2021-04-28

Provider Mailing Address Detail

Address 9201 Calumet Ave
City Munster
State Indiana (IN)
Post Code 463212807
Phone Number 2198362022
Fax Number 2198360034

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 036-098723
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200510260 IN --
964820 IN ANTHEM PROVIDER NUMBER
M471400271 IN MEDICARE

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FAQs about Phornphat Rasamimari

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

The Phornphat Rasamimari has been assigned the NPI (National Provider Identifier) 1821075383 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Phornphat Rasamimari's physical address?

The Phornphat Rasamimari is physically located at 9201 Calumet Ave, in the city of Munster, IN, with the postal code 463212807.

What is Phornphat Rasamimari's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Phornphat Rasamimari is Neonatal-perinatal Medicine, and the taxonomy code that categorizes this field of expertise is 2080N0001X.

On what date did the Phornphat Rasamimari receive the assignment of its 1821075383 from the Centers for Medicare & Medicaid Services?

The Phornphat Rasamimari was issued its 1821075383 by the Centers for Medicare & Medicaid Services on 2005-12-27.

When was the information related to Phornphat Rasamimari most recently updated or refreshed?

The details pertaining to the Phornphat Rasamimari, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-04-28.

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