# POCHANA HOPRASART MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144299165
- **Authorized official:** DR. POCHANA HOPRASART MD (PRESIDENT)
- **Authorized official phone:** (734) 284-7482

## Contact information

- **Practice address:** 15356 TRENTON RD, SOUTHGATE, MI 48195
- **Practice address phone:** (734) 284-7482
- **Mailing address:** 15356 TRENTON RD, SOUTHGATE, MI 48195
- **Mailing address phone:** (734) 284-7482
- **Mailing address fax:** (734) 284-3796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 31675 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 08/22/2020