Provider Demographics
NPI:1306857883
Name:RERKPATTANAPIPAT, PAIROJ (MD)
Entity Type:Individual
Prefix:DR
First Name:PAIROJ
Middle Name:
Last Name:RERKPATTANAPIPAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 TATE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1465
Mailing Address - Country:US
Mailing Address - Phone:828-261-0009
Mailing Address - Fax:828-261-0799
Practice Address - Street 1:2660 TATE BLVD SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1465
Practice Address - Country:US
Practice Address - Phone:828-261-0009
Practice Address - Fax:828-261-0799
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000-00593207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2000-00593OtherNCMB LICENSE (REACTIVATIN
NC89126U2Medicaid
NC126U2OtherBCBS
NCP00375319OtherRAIL ROAD MEDICARE
NC89126U2Medicaid
NCNC2906B320Medicare PIN