Chantachote, Chanak

Chantachote, Chanak is an individual health care provider with primary practice located at Department Of Surgery 79 Middleville Rd, Northport NY 11725. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Chantachote, Chanak can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
Department Of Surgery 79 Middleville Rd Northport NY 11725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A143223 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X A143223 California

Profile Details

NPI number 1093004384
LBN Legal business name Chantachote, Chanak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Sep 9th, 2020 - about 5 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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