Suramaethakul, Nuttanun

Suramaethakul, Nuttanun is an sole proprietor health care provider with primary practice located at 1151 E 3900 S Ste B275 , Salt Lake City UT 84124-1259. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Suramaethakul, Nuttanun can be contacted via phone (801) 268-6830.

Contact Information

Primary practice address
1151 E 3900 S Ste B275 Salt Lake City UT 84124-1259
Phone: (801) 268-6830
Fax: (801) 262-3584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57.014260 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 9492315-1205 Utah

Profile Details

NPI number 1689816605
LBN Legal business name Suramaethakul, Nuttanun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2009
Last updated Jul 21st, 2022 - about 4 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 1689816605 NPPES
Utah MEDICAID 1689816605

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