MEDICARE: SOMPONG NMN SINGSHINSUK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	36-52333	IL

General Provider Information

NPI Number	:	1467423442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOMPONG NMN SINGSHINSUK M.D.

Provider Business Mailing Address
First Line	:	3678 HIDDEN DR.
Second Line	:	APT # 1102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-4667
Country	:	US
Telephone Number	:	210-967-7364
Fax Number	:

Provider Business Practice Location Address
First Line	:	3851 ROGER BROOKE DR
Second Line	:	BAMC MCHE- QD ( CREDS ),
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-4501
Country	:	US
Telephone Number	:	210-916-2251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	03/29/2026

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