Supatida Tengsupakul
Pediatrician Pediatric Infectious Diseases
1601 Center St
Mobile
, Alabama 36604-1541
Supatida Tengsupakul
Pediatrician Pediatric Infectious Diseases
1601 Center St
Mobile
, Alabama 36604-1541
(251) 445-2464
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Supatida Tengsupakul
- Po Box 40480
- Mobile, AL
- Zip : 36640-0480
- Fax : (251) 445-2464
- Phone : (251) 434-3626
Second Address
- Supatida Tengsupakul
- 1601 Center St
- Mobile, AL
- Zip : 36604-1541
- Fax : (251) 434-3852
- Phone : (251) 410-5437
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FAQs
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Is Supatida Tengsupakul a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | P7581 | TX |
| Y | 2080P0208X | Pediatric Infectious Diseases | 35632 | AL |
| N | 2080P0208X | Pediatric Infectious Diseases | P7581 | TX |
National Provider Identifier
| NPI | 1154648210 |
|---|---|
| Provider Name | Supatida Tengsupakul |
| First Address | Mobile, AL 36640-0480 |
| Second Address | Mobile, AL 36604-1541 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2010 |
| Last Update Date | 03/03/2021 |
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.