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

Individual provider Internal Medicine Physician · NPI 1306259809

Wikrom Chaiwatcharayut, MD is an Internal Medicine in Ventura, California. Qualified in 2012, 14 years ago. Practices with Village Internal Medicine, PA, a 5-clinician group. Licensed in California and North Carolina.

Years since qualifying
14
Licensed in
CA, NC
In the registry since
2014
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

200 S Wells Rd
Ventura, CA 93004-1377
Phone: (805) 647-6322
Fax: (805) 647-7164
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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 A144707 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2021-02077 (NC)

Record details

NPI number1306259809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address1843 Quiet Cv, Fayetteville, NC 28304-3857

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Village Internal Medicine, Pa — 5 clinicians
Accepts Medicare assignment Not indicated

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