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

Individual provider Internal Medicine Physician · NPI 1417949686

Dr. Kruawan Paksaichol, MD is an Internal Medicine in Brooklyn, New York. Qualified in 1970, 56 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
56
Licensed in
NY
In the registry since
2005
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

123 Pennsylvania Ave
Brooklyn, NY 11207-2428
Phone: (718) 922-3765
Fax: (718) 922-3765
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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 135912 (NY)

Record details

NPI number1417949686
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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