Chaiyasate, Kongkrit

Chaiyasate, Kongkrit is an individual health care provider with primary practice located at 3535 W 13 Mile Rd , Royal Oak MI 48073-6770. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Chaiyasate, Kongkrit can be contacted via phone (248) 551-2400.

Contact Information

Primary practice address
3535 W 13 Mile Rd Royal Oak MI 48073-6770
Phone: (248) 551-2400
Fax: (248) 551-6556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2009004288 Missouri
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35095391 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 2009004288 Missouri

Profile Details

NPI number 1467574467
LBN Legal business name Chaiyasate, Kongkrit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467574467 NPPES
Ohio MEDICAID 3053994

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