Individual
PIMPAWAN BOAPIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4300
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
23693
NE
207RI0200X
Infectious Disease Physician
Primary
4301099705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025561700
—
NE
01
—
280555
MEDICARE
NE
Enumeration date
08/31/2006
Last updated
09/28/2011
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