Srisuwananukorn, Sompop

Srisuwananukorn, Sompop is an individual health care provider with primary practice located at 2075 Indianapolis Blvd , Whiting IN 46394-1948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Srisuwananukorn, Sompop can be contacted via phone (219) 659-7000.

Contact Information

Primary practice address
2075 Indianapolis Blvd Whiting IN 46394-1948
Phone: (219) 659-7000
Fax: (219) 659-9018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01030518 Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01030518 Indiana

Profile Details

NPI number 1467439828
LBN Legal business name Srisuwananukorn, Sompop
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jan 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467439828 NPPES
Indiana MEDICAID 100188330

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