Healthcare Provider Details
I. General information
NPI: 1104769033
Provider Name (Legal Business Name): SORAWIS NGAOHIRUNPAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 LINCOLN ST, METROWEST MEDICAL CENTER
FRAMINGHAM MA
01702
US
IV. Provider business mailing address
115 LINCOLN ST, METROWEST MEDICAL CENTER
FRAMINGHAM MA
01702
US
V. Phone/Fax
- Phone: 508-383-1572
- Fax:
- Phone: 508-383-1572
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: