Organization
POCHANA HOPRASART MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POCHANA HOPRASART MD (PRESIDENT)
(734) 284-7482
Entity
Organization
Contact information
Practice address
15356 TRENTON RD, SOUTHGATE, MI 48195
(734) 284-7482
Mailing address
15356 TRENTON RD, SOUTHGATE, MI 48195
(734) 284-7482
(734) 284-3796
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1608276231
BLUE CROSS
MI
Enumeration date
03/14/2006
Last updated
08/22/2020
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