Dr Phudhiphorn Thienprasit, MD, PHD is a
Neurological Surgery physician based in Maplewood, Minnesota. Dr Phudhiphorn Thienprasit is licensed to practice in Minnesota (license number 21230) and his current practice location is 1675 Beam Ave, Ste 215, Maplewood, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 748-1461.
NPI number for Dr Phudhiphorn Thienprasit is 1437151669 and his current mailing address is 1675 Beam Ave, Ste 215, Maplewood, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437151669.
Physician's Profile
| Full Name | Dr Phudhiphorn Thienprasit |
|---|
| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 1675 Beam Ave, Maplewood, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437151669
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 12/05/2007
Medical Identifiers
Medical identifiers for Dr Phudhiphorn Thienprasit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437151669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 21230 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Phudhiphorn Thienprasit is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Phudhiphorn Thienprasit, MD, PHD
1675 Beam Ave, Ste 215,
Maplewood, MN 55109-1172
Ph: (651) 748-1461 | Dr Phudhiphorn Thienprasit, MD, PHD
1675 Beam Ave, Ste 215,
Maplewood, MN 55109-1172
Ph: (651) 748-1461 |
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