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

Individual provider Surgery Physician · NPI 1275630196

Dr. Kraivit Angsupanich, MD is a Surgery Physician in Lakeport, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

801 11th St Ste 1
Lakeport, CA 95453-4100
Phone: (707) 262-5568
Fax: (707) 263-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A34208 (CA)

Record details

NPI number1275630196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESSeptember 17, 2008

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