Supatida Tengsupakul M.D.
Pediatric Infectious Diseases Physician in Mobile, AL(View on Map)
Full Name
Supatida Tengsupakul M.D.
NPI Number
1154648210
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/29/2010
Specialties
(Taxonomies)Code
2080P0208X
208000000X
Primary Taxonomy
Yes
No
Licenses
State
Alabama
Texas
License Number
35632
P7581
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 40480
1601 CENTER ST
City
Mobile
Mobile
State
AL
AL
Postal Code
36640-0480
36604-1541
Country
US
US
Telephone Number
(251) 434-3626
(251) 410-5437
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/03/2021
Provider Address
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Benjamin Estrada MD
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Linda Hassouneh M.D
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