Individual provider · Type 1 NPI

Supparerk Prichayudh, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1285963397 Active

Practice location

1611 NW 12th Ave, Department Of Surgery
Miami, FL 33136-1005

Call (305) 335-1293 Map

Fax (305) 326-7065

Mailing address

1756 N Bayshore Dr, Apt 29E
Miami, FL 33132-1132

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285963397

Supparerk Prichayudh, MD's National Provider Identifier is 1285963397, issued on Dec 18, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Dec 18, 2009.