Chanak Chantachote, MD | |
Department Of Surgery, 79 Middleville Rd, Northport, NY 11725 | |
(631) 261-4400 | |
Not Available |
Full Name | Chanak Chantachote |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | Department Of Surgery, Northport, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093004384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | A143223 (California) | Primary |
2086S0127X | Surgery - Trauma Surgery | A143223 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Chanak Chantachote, MD Department Of Surgery, 79 Middleville Rd, Northport, NY 11725 Ph: (631) 261-4400 | Chanak Chantachote, MD Department Of Surgery, 79 Middleville Rd, Northport, NY 11725 Ph: (631) 261-4400 |
Dr. Cheng H Lo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Va Medical Center, 79 Middleville Rd, Northport, NY 11768 Phone: 631-621-4400 | |
Dr. Andrew J Rochman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Pebble Hill Dr, Suite 205, Northport, NY 11768 Phone: 516-521-9937 Fax: 516-521-9937 | |
Dr. Soojin Ahn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Surgical Services, Northport, NY 11768 Phone: 631-233-2317 |