Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Permporn Vanasupa, MD

Individual provider Family Medicine Physician · NPI 1679507511

Permporn Vanasupa, MD is a Family Medicine Physician in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 10th St Huron Family Practice Ctr
Port Huron, MI 48060
Phone: (810) 987-6200
Fax: (810) 987-8717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40301032135 (MI)

Record details

NPI number1679507511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5041 Longview Dr, Troy, MI 48098

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