Mongkol Mongkolpradit, M.D.

Internal Medicine Physician · Southgate, MI

Individual Active NPI

NPI number 1366435075

Practice location

15332 Fort St
Southgate, MI 48195-1304
Phone
(734) 285-2255

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NPI record

NPI
1366435075
Entity type
Individual (Type 1)
Enumeration date
August 27, 2005
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X MM032063 MI

About Dr. Mongkolpradit

Mongkol Mongkolpradit, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 15332 Fort St, Southgate, MI 48195-1304. The NPI number 1366435075 was assigned on August 27, 2005 and the record was last updated on July 9, 2007.

Dr. Mongkolpradit lists a license in the registry: #MM032063 (MI) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mongkol Mongkolpradit, M.D.?

The NPI number is 1366435075.

What is the phone number of Dr. Mongkolpradit?

The phone number listed for the practice location is (734) 285-2255.

Where is Dr. Mongkolpradit located?

15332 Fort St, Southgate, MI 48195-1304.

What is the taxonomy code for Dr. Mongkolpradit?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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