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DR. RODJAWAN SUPAKUL M.D. NPI 1730463720


NPI Information

NPI: 1730463720
Provider Name: DR. RODJAWAN SUPAKUL, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
855 A AVE NE STE 400
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 363-3565
Get Directions

DR. Rodjawan Supakul, M.D. is a pulmonary disease internal medicine in Cedar Rapids, IA with 16 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Rodjawan Supakul, M.D. NPI is 1730463720. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 A AVE NE STE 400
CEDAR RAPIDS, IA
ZIP 52402-064
Phone: (319) 363-3565
Fax: (319) 363-4001

The NPI 1730463720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 7/26/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseMD-43716IOWAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.