| Somnuk Pow-anpongkul, MD | |
|
1101 Ocilla Rd, Douglas, GA 31533-2207 | |
| (912) 384-1900 | |
| Not Available |
| Full Name | Somnuk Pow-anpongkul |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 48 Years |
| Location | 1101 Ocilla Rd, Douglas, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053304428 | NPI | - | NPPES |
| 00344748B | Medicaid | GA | |
| 029756 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 029756 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coffee Regional Medical Center, Inc | Douglas, GA | Hospital |
| Bacon County Hospital | Alma, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Universal Radiology Consultants Pc | 2769485655 | 18 |
| Entity Name | Clinch County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
| Entity Name | Universal Radiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689606188 PECOS PAC ID: 2769485655 Enrollment ID: O20060815000151 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Somnuk Pow-anpongkul, MD 1101 Ocilla Rd, Douglas, GA 31533-2207 Ph: () - | Somnuk Pow-anpongkul, MD 1101 Ocilla Rd, Douglas, GA 31533-2207 Ph: (912) 384-1900 |
Nirandr Inthachak, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 |