Provider Demographics
NPI:1477958866
Name:P.P.A.MEDICAL GROUP CO., LTD
Entity Type:Organization
Organization Name:P.P.A.MEDICAL GROUP CO., LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VARAPORN
Authorized Official - Middle Name:
Authorized Official - Last Name:SADSANGJUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-996-6030
Mailing Address - Street 1:89/9 THANAPORN BLD FLOOR1-2
Mailing Address - Street 2:VIBHAVADEE RANGSIT ROAD SANAMBIN
Mailing Address - City:DONMUEANG
Mailing Address - State:BANGKOK
Mailing Address - Zip Code:10210
Mailing Address - Country:TH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:89/9 THANAPORN BLD FLOOR1-2
Practice Address - Street 2:VIBHAVADEE RANGSIT ROAD SANAMBIN
Practice Address - City:DONMUEANG
Practice Address - State:BANGKOK
Practice Address - Zip Code:10210
Practice Address - Country:TH
Practice Address - Phone:662-996-6030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies