Provider Demographics
NPI:1023121431
Name:SUKANICH, AURAPIN (MD)
Entity type:Individual
Prefix:
First Name:AURAPIN
Middle Name:
Last Name:SUKANICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AURAPIN
Other - Middle Name:
Other - Last Name:CHANDAVIMOL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:341 MOHAWK SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16102-2817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:341 MOHAWK SCHOOL RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16102-2817
Practice Address - Country:US
Practice Address - Phone:724-667-2273
Practice Address - Fax:724-667-8313
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3438207KI0005X
PAMD035583L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
102169OtherUPMC
0008377570010OtherDPA
93457OtherRAIL ROAD MEDICARE METRA
MD035583LOtherMD LICENSE NUMBER
62775OtherBEST
93457OtherUNITED HEALTHCARE
93457OtherBLUE CROSS BLUE SHIELD
PA0008377570010Medicaid
1003610OtherGATEWAY
78004OtherUS HEALTHCARE
78004OtherAETNA
16565OtherHEALTH ASSURANCE HLTH AME
62775OtherMED 3 RIVERS
1003610OtherGATEWAY
93457OtherBLUE CROSS BLUE SHIELD