| Chingchai Wanidworanun Md Pllc | |
|
4001 9th St N Apt 228 Arlington VA 22203-1954 | |
| (703) 387-0999 | |
| (703) 387-0911 |
| Full Name | Chingchai Wanidworanun Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4001 9th St N Apt 228, Arlington, Virginia |
| Authorized Official Name and Position | Chingchai Wanidworanun (MEMBER) |
| Authorized Official Contact | 70338780999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chingchai Wanidworanun Md Pllc 4001 9th St N Apt 228 Arlington VA 22203-1954 Ph: (703) 387-0999 | Chingchai Wanidworanun Md Pllc 4001 9th St N Apt 228 Arlington VA 22203-1954 Ph: (703) 387-0999 |
| NPI Number | 1730279951 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/03/2008 |
| Medicare PECOS PAC ID | 9638271695 |
|---|---|
| Medicare Enrollment ID | O20070221000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730279951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chingchai Wanidworanun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841220894 PECOS PAC ID: 1153234836 Enrollment ID: I20031110000075 |
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