Bunsri Thanasophon, MD is a
Orthopaedic Surgery physician based in Upland, California. Bunsri Thanasophon is licensed to practice in California (license number A29667) and his current practice location is 285 East 24th Street, Upland, California. He can be reached at his office (for appointments etc.) via phone at
(909) 946-8213.
NPI number for Bunsri Thanasophon is 1508132051 and his current mailing address is 285 E. 24th Stree, Upland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508132051.
Physician's Profile
| Full Name | Bunsri Thanasophon |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 285 East 24th Street, Upland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508132051
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 03/29/2012
Medical Identifiers
Medical identifiers for Bunsri Thanasophon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508132051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | A29667 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bunsri Thanasophon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bunsri Thanasophon, MD
285 E. 24th Stree,
Upland, CA 91784
Ph: () - | Bunsri Thanasophon, MD
285 East 24th Street,
Upland, CA 91784
Ph: (909) 946-8213 |
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