Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 5974 | ND |
NPI | 1215036199 |
---|---|
Provider Name | Dr. Arkapol Piyamahunt |
First Address | Bismarck, ND 58501-4516 |
Second Address | Bismarck, ND 58501-4516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 03/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1215036199 | NPI (01) | |
16450 | (05) | ND |
E70155 | (02) | |
P00190764 | RAILROAD MEDICARE (01) | ND |