Individual provider · Type 1 NPI

Boondarik Sandy Phuengsomboonying, MD

Student in an Organized Health Care Education/Training Program · Rochester, MI

NPI number 1689427403 Active

Practice location

1135 W University Dr Ste 250
Rochester, MI 48307-1886

Call (248) 650-6301 Map

Fax (248) 650-5486

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 1689427403

Boondarik Sandy Phuengsomboonying, MD's National Provider Identifier is 1689427403, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, MI. The record was last updated on Feb 11, 2026.