Pavadee Poowuttikul

M.D. | Pediatric Allergy-Immunology | Female

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Complete Profile:

Pavadee Poowuttikul basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Pavadee Poowuttikul
Credential :	M.D.
Gender :	Female

Business Address:

Pavadee Poowuttikul address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3950 Beaubien - 3rd Fl, Childrens Hospital Of Mi Detroit, MI, 48201-2119 United States
Phone Number :	313-832-8550
Fax Number :	313-993-8685

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1952582314
NPI Entity Type :	Individual
First Enrolment Date :	14 Nov, 2007
Last Updated On :	20 Jan, 2017

Medicare Participation:

Pavadee Poowuttikul participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6002070067
Medicare Enrollment ID :	I20120604000511
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2005
Accepts Medicare?	Yes. Pavadee Poowuttikul accepts medicare insurance.

Group Practice Association:

Pavadee Poowuttikul is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Pavadee Poowuttikul is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatricians	9638070568	85	3901 Beaubien St Detroit, MI - 482012119 Ph: 3137455870	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pavadee Poowuttikul are as mentioned. Primary taxonomy code for Pavadee Poowuttikul, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301090387	MI
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	4301090387	MI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	4201 St. Antoine - Uhc 5d Mailbox 226, University Pediatricians Detroit, MI, 48201-2153 United States
Phone Number :	313-745-4405
Fax Number :	313-966-0665

Business Location:

Patients can refer following map for directions to Pavadee Poowuttikul practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.