Premwadee K Chantra, MD - Radiology in Los Angeles, CA

Premwadee K Chantra, MD is a Radiology - Diagnostic Radiology physician based in Los Angeles, California. Premwadee K Chantra is licensed to practice in California (license number A30579) and his current practice location is 10833 Le Conte Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (310) 825-4721.

NPI number for Premwadee K Chantra is 1295766384 and his current mailing address is 5767 W. Century Blvd, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295766384.

Contact Information

Premwadee K Chantra, MD
10833 Le Conte Ave,
Los Angeles, CA 90095-3075
(310) 825-4721
Not Available

Map and Direction




Physician's Profile

Full NamePremwadee K Chantra
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location10833 Le Conte Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295766384
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 10/09/2008

Medical Identifiers

Medical identifiers for Premwadee K Chantra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295766384NPI-NPPES
00A305790MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A30579 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Premwadee K Chantra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Premwadee K Chantra, MD
5767 W. Century Blvd,
Los Angeles, CA 90094-3075

Ph: () -
Premwadee K Chantra, MD
10833 Le Conte Ave,
Los Angeles, CA 90095-3075

Ph: (310) 825-4721

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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