Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DITTANA PHONCHAROENSRI, M.D.
ActiveMR. DITTANA PHONCHAROENSRI, M.D. is a Sleep Medicine (Psychiatry) healthcare provider located in BERMUDA RUN, North Carolina. NPI 1750585170 is currently active in the NPPES registry. Verify at CMS.
Sleep Medicine (Psychiatry) · BERMUDA RUN, NC
Registration Details
- NPI Number
- 1750585170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2007 (19.209990646039 yrs)
- Last Updated
- Oct 25, 2020
- License
-
201300784 (NC)
Practice Information
- Address
-
152 E KINDERTON WAY STE 101BERMUDA RUN, NC, 270067351Browse NC providers · Browse ZIP 27006
- Phone
- 3368933180
- Fax
- 3368933189
- Primary Specialty
-
Sleep Medicine (Psychiatry)
2084S0012X
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.