Individual
NUTTHA UNGNAPATANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 KELLEY HWY, FORT SMITH, AR 72904-5024
(479) 709-7460
(479) 573-7991
Mailing address
PO BOX 2319, ATLANTA, GA 30301-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-052-303
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E7591
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193701001
—
AR
05
—
200457640A
—
OK
Enumeration date
05/23/2008
Last updated
11/20/2012
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