Dr. Supparerk Prichayudh, M.D.
Student in an Organized Health Care Education/Training Program in Miami, FL. Individual provider (NPI-1).
NPI number1285963397
StatusActive
Last updated in NPPESDec 18, 2009
Details
- NPI
- 1285963397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Supparerk Prichayudh
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2009
- Last updated
- Dec 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1611 Nw 12th AveDepartment Of Surgery
Miami, FL 33136-1005
Phone 305-335-1293 · Fax 305-326-7065
Mailing address
1756 N Bayshore DrApt 29e
Miami, FL 33132-1132
Phone 305-610-9976
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