Individual
NAKORN APAKUPAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 E WINDSOR BLVD, WINDSOR, VA 23487
(757) 242-6185
(757) 242-6647
Mailing address
PO BOX 363, WINDSOR, VA 23487
(757) 242-6185
(757) 242-6647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101024274
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001110
ANTHEM
VA
05
—
005650003
—
VA
01
—
3101287
CIGNA
VA
01
—
3101287003
CIGNA HMO
VA
01
—
84821
MDIPA
VA
Enumeration date
04/13/2006
Last updated
11/10/2011
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