Basic Information
| Provider Information | |||||||||
| NPI: | 1659355477 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARUNAKUL | ||||||||
| FirstName: | NARIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4046 | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658084046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4172695712 | ||||||||
| FaxNumber: | 4172697567 | ||||||||
| Practice Location | |||||||||
| Address1: | 1150 STATE HIGHWAY 248 STE 200 | ||||||||
| Address2: | |||||||||
| City: | BRANSON | ||||||||
| State: | MO | ||||||||
| PostalCode: | 656164186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4173364112 | ||||||||
| FaxNumber: | 4173354684 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 12/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 12/24/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | 114744 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
| ID | Type | State | Issuer | Description | 208528620 | 05 | MO | MEDICAID | 384796 | 01 | MO | HEALTHLINK | OTHER | 250766 | 01 | HEALTHLINK | OTHER | P00236270 | 01 | RAILROAD MEDICARE | OTHER | 118502 | 01 | MO | BLUE CROSS BLUE SHIELD | OTHER | P00765644 | 01 | MO | RAILROAD MEDICARE | OTHER | 000000601213 | 01 | MO | ANTHEM PIN | OTHER | 126814 | 01 | BCBS | OTHER | 155777001 | 05 | AR | MEDICAID |