National Provider Identifier Database

SUPHICHAYA MUANGMAN, MD – NPI #1245398619
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Contact Information

SUPHICHAYA MUANGMAN, MD
1625 STRAITS TPKE
SUITE 209
MIDDLEBURY, CT  06762-1836
Phone: 203-758-9100
Fax: 203-758-9400
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for SUPHICHAYA MUANGMAN

NPI Number 1245398619
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 07/15/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 043440
  • CT Medicaid: 001153600
  • CT Medicaid: 001434406
  • CT Other: 7085716 AETNA
  • CT Other: 25-33213 AMERICHOICE
  • CT Other: 010043440CT02 ANTHEM BCBS CT
  • CT Other: 043440 CONNECTICARE
  • CT Other: 3V0829 HEALTHNET/COMMERCIAL
  • CT Other: P3941581 OXFORD
  • CT Other: P00796456 RR MEDICARE
  • CT Other: 25-33213 UHC
  • CT Other: 1105253 USA
  • CT Other: 518685 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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