Individual
NUNTRA SUWANTARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1988
Mailing address
11100 EUCLID AVE,, CLEVELAND, OH 44106-1714
(216) 844-1988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MDR-5295
HI
207RI0200X
Infectious Disease Physician
Primary
57.017609
OH
Other
Enumeration date
07/03/2007
Last updated
06/15/2010
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