Nuttanun Suramaethakul MD LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

9492315-1205 Issued in UT

Legal business name

NUTTANUN SURAMAETHAKUL MD LLC

Practice address

1151 E 3900 S
Suite B299
Salt Lake City, UT 84124-1216

Phone

(801) 268-6830

Fax

(801) 262-3584

NPI assigned

Dec 28, 2015

Last updated

Jan 16, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nuttanun Suramaethakul, MDNPI 1689816605

Title

MD/Owner

Phone

(801) 268-6830

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nuttanun Suramaethakul, MD

  • Infectious Disease Physician
  • Salt Lake City, UT
  • NPI 1689816605
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452902400000",
    "number": "1457716961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E 3900 S",
            "address_2": "SUITE B299",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241216",
            "telephone_number": "801-268-6830",
            "fax_number": "801-262-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E 3900 S",
            "address_2": "SUITE B299",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241216",
            "telephone_number": "801-268-6830",
            "fax_number": "801-262-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTTANUN SURAMAETHAKUL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-01-16",
        "status": "A",
        "authorized_official_last_name": "SURAMAETHAKUL",
        "authorized_official_first_name": "NUTTANUN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "801-268-6830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "UT",
            "license": "9492315-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nunn, M.S.
• Habiba Ali Nur, CASE MANGER
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• Nathan Nuzman, MD
• Chinedu Elvis Nwaduru, MD, MS

• Infectious Disease Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Infectious Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.