Permporn Vanasupa, MD in Port Huron, MI - Family Medicine

Permporn Vanasupa, MD is a Family Medicine physician based in Port Huron, Michigan. Permporn Vanasupa is licensed to practice in Michigan (license number 40301032135) and his current practice location is 1225 10th St, Huron Family Practice Center, Port Huron, Michigan. He can be reached at his office (for appointments etc.) via phone at (810) 987-6200.

NPI number for Permporn Vanasupa is 1679507511 and his current mailing address is 5041 Longview Dr, Troy, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679507511.

Contact Information

	Permporn Vanasupa, MD
	1225 10th St, Huron Family Practice Center, Port Huron, MI 48060
	(810) 987-6200
	(810) 987-8717

Physician's Profile

Full Name	Permporn Vanasupa
Gender	Male
Speciality	Family Medicine
Location	1225 10th St, Port Huron, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1679507511
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Permporn Vanasupa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679507511	NPI	-	NPPES
AV9479088	Other	MI	US FEDERAL
4301032135	Other	MI	PHYSICIAN LICENSE NUMBER
3184814	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	40301032135 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Permporn Vanasupa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Permporn Vanasupa, MD 5041 Longview Dr, Troy, MI 48098 Ph: (810) 987-6200	Permporn Vanasupa, MD 1225 10th St, Huron Family Practice Center, Port Huron, MI 48060 Ph: (810) 987-6200

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Family Medicine Doctors in Port Huron, MI

Dr. John Patrick Mullally, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1117 Stone St, Suite 2, Port Huron, MI 48060 Phone: 810-966-4540 Fax: 810-966-4549
Patrick Aaron Kut, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave, Suite 3, Port Huron, MI 48060 Phone: 810-985-1680 Fax: 810-985-1518
Cheryl A Canto, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540 16th St, Port Huron, MI 48060 Phone: 810-987-1000 Fax: 810-982-1810
Alexander Grant Ruthven Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 10th St, Huron Family Practice Center, Port Huron, MI 48060 Phone: 810-987-6200 Fax: 810-987-8717
Aaron Kenneth Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1217 Kearney St, Suite 1, Port Huron, MI 48060 Phone: 810-982-2095 Fax: 810-982-8513
Douglas A Krause, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1979 Holland Ave, Suite C, Port Huron, MI 48060 Phone: 810-982-1200 Fax: 810-982-6990
David Sabbagh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 10th St Ste D, Port Huron, MI 48060 Phone: 810-985-8170

Permporn Vanasupa, MD - Family Medicine in Port Huron, MI