Phornphat Rasamimari
M.D., MPH | Pediatric Neonatal-Perinatal Medicine | Male
Phornphat Rasamimari, M.D., MPH is a Munster, Indiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Phornphat Rasamimari is
901 Macarthur Blvd, Neonatology Department, Munster, Indiana - 46321-2901. He can be contacted on phone at
219-836-2022.
Phornphat Rasamimari is a sole proprietor of his business.
NPI number (Unique professional ID) for Phornphat Rasamimari is
1821075383 which was assigned by NPPES on 27 Dec, 2005 and it was last updated on 28 Apr, 2021.
Phornphat Rasamimari license number is
01060038A for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Indiana.
Phornphat Rasamimari is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Phornphat Rasamimari basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Phornphat Rasamimari |
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| Credential : | M.D., MPH |
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| Gender : | Male |
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Business Address:
Phornphat Rasamimari 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 : | 901 Macarthur Blvd, Neonatology Department
Munster, IN, 46321-2901
United States |
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| Phone Number : | 219-836-2022 |
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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 : | 1821075383 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Dec, 2005 |
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| Last Updated On : | 28 Apr, 2021 |
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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 Phornphat Rasamimari are as mentioned. Primary taxonomy code for Phornphat Rasamimari, M.D., MPH is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036-098723 | IL |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 036-098723 | IL |
| 208M00000X | Hospitalist | No | 01060038A | IN |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 01060038A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Phornphat Rasamimari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000964820 | Other | IN | ANTHEM PROVIDER NUMBER |
| M471400271 | Other | IN | MEDICARE |
| 200510260 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | prasamimari@direct.ccprovider.org
| | DIRECT
Direct
|
| 1969 W. OGDEN AVE.,
CHICAGO, IL, 60612-3723
United States |
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 : | 9201 Calumet Ave
Munster, IN, 46321-2807
United States |
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| Phone Number : | 219-836-2022 |
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| Fax Number : | 219-836-0034 |
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Business Location:
Patients can refer following map for directions to
Phornphat Rasamimari practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.