SATU MITRAKUL MD NPI 1619930104

NPI Information

NPI: 1619930104
Provider Name: SATU MITRAKUL, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
2177 OAK TREE RD
SUITE 204
EDISON, NJ
ZIP 08820
Phone: (908) 686-9330
Get Directions

Satu Mitrakul, MD is a nephrology internal medicine in Edison, NJ. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Satu Mitrakul, MD NPI is 1619930104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2177 OAK TREE RD
SUITE 204
EDISON, NJ
ZIP 08820-082
Phone: (908) 686-9330
Fax: (908) 769-4736

The enumeration date for this NPI number is 4/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	25MA24685	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C56604	MEDICARE UPIN
2	4571908	MEDICAID	NEW JERSEY
3	513669	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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