Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chanavuth Kanitsoraphan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205329216

Chanavuth Kanitsoraphan, MD is a Student in an Organized Health Care Education/Training Program in Honolulu, Hawaii. Licensed in Hawaii and Illinois. Registered with an NPI since 2018.

Licensed in
HI, IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1356 Lusitana St Ste 510
Honolulu, HI 96813-2409
Phone: (808) 462-2776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036159623 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (HI)

Record details

NPI number1205329216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

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