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Sampanta Boonjarern, MD
Nephrology Physician in Crown Point, Indiana
NPI 1073514642

Sampanta Boonjarern is a Nephrology Physician based in Oak Park, IN and is specialized in Nephrology. Sampanta Boonjarern practices in Crown Point, IN and has the professional credentials of MD. The NPI Number for Sampanta Boonjarern is 1073514642 and holds a License No. 01027321A (Indiana).

The current practice location address for Sampanta Boonjarern is 297 Franciscan Dr, Crown Point, IN and can be reached out via phone at 219-622-1718. You can also correspond with Sampanta Boonjarern through the mailing address at 855 MADISON ST, OAK PARK, IL - 60302-4420 (mailing address contact number: 708-492-4531).

Location: 297 Franciscan Dr, Crown Point, IN, 60302-4420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073514642
Provider Name
Sampanta Boonjarern
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
297 Franciscan Dr, Crown Point, IN, 60302-4420
Phone Number
219-622-1718
Fax Number
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000095595 01 IN ANTHEM BCBS NUMBER
100168430A 05 IN
100082060 05 IN
090001077 01 IL IL BCBS NUMBER
institution
Provider Business Practice Location Address Details
Address
297 Franciscan Dr
City
Crown Point
State
Indiana
Zip
46307-4858
Phone Number
219-622-1718
Fax Number
person
Provider Business Mailing Address Details
Address
297 Franciscan Dr
City
Crown Point
State
Indiana
Zip
46307-4858
Phone Number
219-622-1718
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
01027321A (Indiana)
Definition
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.
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