| Nuttanun Suramaethakul Md Llc | |
|
1151 E 3900 S Suite B299 Salt Lake City UT 84124-1216 | |
| (801) 268-6830 | |
| (801) 262-3584 |
| Full Name | Nuttanun Suramaethakul Md Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1151 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Nuttanun Suramaethakul (MD/OWNER) |
| Authorized Official Contact | 8012686830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuttanun Suramaethakul Md Llc 1151 E 3900 S Suite B299 Salt Lake City UT 84124-1216 Ph: (801) 268-6830 | Nuttanun Suramaethakul Md Llc 1151 E 3900 S Suite B299 Salt Lake City UT 84124-1216 Ph: (801) 268-6830 |
| NPI Number | 1457716961 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 01/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457716961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 9492315-1205 (Utah) | Primary |
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