PERMPORN VANASUPA MD – NPI #1679507511
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PERMPORN VANASUPA is a physician located in PORT HURON, MI. NPPES has assigned the NPI number 1679507511 to PERMPORN VANASUPA on July 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PERMPORN VANASUPA below.

NPI Profile for
PERMPORN VANASUPA

NPI Number
1679507511
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PERMPORN VANASUPA
Credentials
MD
Primary location
1225 10TH ST
HURON FAMILY PRACTICE CENTER
PORT HURON, MI 48060
Phone: (810) 987-6200 Fax: (810) 987-8717
Mailing address
5041 LONGVIEW DR
TROY, MI 48098
Phone: (810) 987-6200 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for PERMPORN VANASUPA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPHYSICIAN LICENSE NUMBERMI4301032135
OTHERUS FEDERALMIAV9479088
MEDICAIDMI3184814
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MI 40301032135

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.