Supak Sookkasikon, MD
Supak Sookkasikon, MD is a Family Practice in Bloomfield Township, Michigan. Qualified in 2003, 23 years ago. Practices with A3 Medical, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 23
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4050 W Maple Rd Ste 101Bloomfield Township, MI 48301-3148
Phone: (248) 885-8211
Fax: (248) 885-8357
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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 4301083253 (MI) |
|---|
Record details
| NPI number | 1649376922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2006 |
| Last updated in NPPES | February 28, 2014 |
| Mailing address | 4050 W Maple Rd, Suite 101, Bloomfield Township, MI 48301-3148 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | A3 Medical — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Bloomfield Township
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Tara Maher Elia, MD
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Iha Ooma Primary LLC
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Daniel Meram, MD
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Dr. Kimberly H Thompson, MD
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