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Individual

PICHAI SRIPAIPAN

Active
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Individual

PICHAI SRIPAIPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301034479
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0829560001
MEDICARE DME
MI
01
0C16002
MEDICARE GROUP
MI
05
104362026
MI
01
PS034479
BLUECROSS STATE ID
MI
Enumeration date
08/15/2006
Last updated
11/24/2009
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