Nirandr Inthachak, MD | |
1101 Ocilla Rd, Douglas, GA 31533-2207 | |
(912) 384-1900 | |
Not Available |
Full Name | Nirandr Inthachak |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 52 Years |
Location | 1101 Ocilla Rd, Douglas, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013900489 | NPI | - | NPPES |
020744 | Other | GA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 020744 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coffee Regional Medical Center, Inc | Douglas, GA | Hospital |
Dorminy Medical Center | Fitzgerald, GA | Hospital |
Jeff Davis Hospital | Hazlehurst, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Universal Radiology Consultants Pc | 2769485655 | 11 |
Entity Name | Clinch County Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
Entity Name | Universal Radiology Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689606188 PECOS PAC ID: 2769485655 Enrollment ID: O20060815000151 |
Entity Name | Optimal Readings Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912052192 PECOS PAC ID: 3779681200 Enrollment ID: O20070607000266 |
Entity Name | South Georgia Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
Entity Name | Radiology Assoc Of South Ga, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548471030 PECOS PAC ID: 2668649666 Enrollment ID: O20120113000726 |
Mailing Address | Practice Location Address |
---|---|
Nirandr Inthachak, MD 1101 Ocilla Rd, Douglas, GA 31533-2207 Ph: () - | Nirandr Inthachak, MD 1101 Ocilla Rd, Douglas, GA 31533-2207 Ph: (912) 384-1900 |
Somnuk Pow-anpongkul, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 |