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Permporn Vanasupa, MD
NPI 1679507511 · Family Medicine Physician · Port Huron, MI
Permporn Vanasupa, MD is a Family Medicine Physician provider in Port Huron, MI (NPI 1679507511).
Provider details
- NPI number
- 1679507511
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 40301032135 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1225 10th St
Huron Family Practice Center
Port Huron, MI 48060
Phone: (810) 987-6200
Fax: (810) 987-8717
Street-level locationGet directions
Mailing address
5041 Longview Dr
Troy, MI 48098
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Permporn Vanasupa's NPI number?
- Permporn Vanasupa's National Provider Identifier (NPI) is 1679507511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Permporn Vanasupa's specialty?
- Permporn Vanasupa is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Permporn Vanasupa located?
- Permporn Vanasupa's practice location on file with NPPES is 1225 10th St, Port Huron, MI 48060.
- What is Permporn Vanasupa's phone number?
- The practice phone number listed in the NPPES registry for Permporn Vanasupa is (810) 987-6200.
- Is Permporn Vanasupa's NPI active?
- Yes — Permporn Vanasupa's NPI (1679507511) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.