Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANAK CHANTACHOTE, M.D.
ActiveCHANAK CHANTACHOTE, M.D. is a Surgical Critical Care healthcare provider located in NORTHPORT, New York. NPI 1093004384 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · NORTHPORT, NY
Registration Details
- NPI Number
- 1093004384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2011 (15.381937321132 yrs)
- Last Updated
- Sep 9, 2020
- Licenses
-
A143223 (CA)A143223 (CA)
Practice Information
- Address
-
DEPARTMENT OF SURGERY79 MIDDLEVILLE RDNORTHPORT, NY, 11725Browse NY providers · Browse ZIP 11725
- Phone
- 6312614400
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- Trauma Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.