Dr. Apichan Pootrakul
Neurosurgeon
13188 N 103rd Dr Ste. 206
Sun City
, Arizona 85351-3064
Dr. Apichan Pootrakul
Neurosurgeon
13188 N 103rd Dr Ste. 206
Sun City
, Arizona 85351-3064
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Apichan Pootrakul
- Po Box 53568
- Phoenix, AZ
- Zip : 85072-3568
- Phone :
Second Address
- Dr. Apichan Pootrakul
- 13188 N 103rd Dr Ste. 206
- Sun City, AZ
- Zip : 85351-3064
- Fax : (623) 933-3045
- Phone : (623) 972-3001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 13567 | AZ |
National Provider Identifier
| NPI | 1114909967 |
|---|---|
| Provider Name | Dr. Apichan Pootrakul |
| First Address | Phoenix, AZ 85072-3568 |
| Second Address | Sun City, AZ 85351-3064 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2005 |
| Last Update Date | 06/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204727 | (05) | AZ |
| D00122 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.