Provider Demographics
NPI:1659355477
Name:ARUNAKUL, NARIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NARIN
Middle Name:
Last Name:ARUNAKUL
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:PO BOX 4046
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65808-4046
Mailing Address - Country:US
Mailing Address - Phone:417-269-5712
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:1150 STATE HIGHWAY 248 STE 200
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-4186
Practice Address - Country:US
Practice Address - Phone:417-336-4112
Practice Address - Fax:417-335-4684
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2019-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO114744207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208528620Medicaid
MO384796OtherHEALTHLINK
250766OtherHEALTHLINK
P00236270OtherRAILROAD MEDICARE
MO118502OtherBLUE CROSS BLUE SHIELD
MOP00765644OtherRAILROAD MEDICARE
MO000000601213OtherANTHEM PIN
126814OtherBCBS
AR155777001Medicaid
250766OtherHEALTHLINK
MOG36409Medicare UPIN
MO000000601213OtherANTHEM PIN
MOP00765644OtherRAILROAD MEDICARE