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NPI Code Detail

MEDICARE: MRS. SOMSRI RATANAPRSATPORN MD

MEDICARE: MRS. SOMSRI RATANAPRSATPORN MD
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
1208000000XPediatrics Physician149948NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508858838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SOMSRI RATANAPRSATPORN MD
Provider Business Mailing Address
First Line : 2108 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-7411
Country : US
Telephone Number : 718-498-9898
Fax Number : 718-317-1892
Provider Business Practice Location Address
First Line : 2108 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-7411
Country : US
Telephone Number : 718-498-9898
Fax Number : 718-317-1892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 10/03/2015

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