Individual
DR. POCHANA HOPRASART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
2070 BIDDLE AVE STE 2, WYANDOTTE, MI 48192
(734) 284-7482
(734) 282-2002
Mailing address
1640 FORT ST, STE D, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PH031675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24657
BLUE CROSS
MI
05
—
101173642
—
MI
01
—
1457586646
GROUP NPI HENRY FORD WYANDOTTE
MI
Enumeration date
08/09/2006
Last updated
06/14/2018
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