Mr. Dittana Phoncharoensri, MD
Mr. Dittana Phoncharoensri, MD is a Neurology in Bermuda Run, North Carolina. Qualified in 1997, 29 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.
- Years since qualifying
- 29
- Licensed in
- NC
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
152 E Kinderton Way Ste 101Bermuda Run, NC 27006-7351
Phone: (336) 893-3180
Fax: (336) 893-3189
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 606 N Elm St, High Point, NC 27262-4332 — (336) 889-8877
- 606 N Elm St, High Point, NC 27262-4332 — (336) 889-8877
Specialties & licences
| Sleep Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084S0012X · Licence 201300784 (NC) |
|---|
Record details
| NPI number | 1750585170 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 11, 2007 |
| Last updated in NPPES | October 25, 2020 |
| Certification date | September 29, 2020 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Novant Health Medical Group, Llc — 2410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |