Chanak Chantachote, MD
Chanak Chantachote, MD is a Surgical Critical Care Physician in Northport, New York. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Partly verified
Department Of Surgery 79 Middleville RdNorthport, NY 11725
Phone: (631) 261-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Critical Care Physician (primary) | Taxonomy 2086S0102X · Licence A143223 (CA) |
|---|---|
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence A143223 (CA) |
Record details
| NPI number | 1093004384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 7, 2011 |
| Last updated in NPPES | September 9, 2020 |
| Certification date | September 8, 2020 |
| Mailing address | Department Of Surgery, 79 Middleville Rd, Northport, NY 11725 |