Healthcare Provider Details

I. General information

NPI: 1023121431
Provider Name (Legal Business Name): AURAPIN SUKANICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AURAPIN CHANDAVIMOL MD

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 MOHAWK SCHOOL RD
NEW CASTLE PA
16102-2817
US

IV. Provider business mailing address

341 MOHAWK SCHOOL RD
NEW CASTLE PA
16102-2817
US

V. Phone/Fax

Practice location:
  • Phone: 724-667-2273
  • Fax: 724-667-8313
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number3438
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD035583L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: