Chanika Phornphutkul, MD

Individual Active
NPI 1639124530
Clinical Biochemical Genetics Physician Providence, RI

NPI 1639124530 belongs to Chanika Phornphutkul, MD, a clinical biochemical genetics physician with a practice location in Providence, RI. The NPI was issued on May 23, 2006, and the record was last updated in NPPES on December 21, 2011. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical Biochemical Genetics Physician Primary 207SG0202X MD10121 (RI)
Pediatric Endocrinology Physician 2080P0205X 10121 (RI)

Practice location

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-8361

Local context

Active NPPES records list 1 provider with clinical biochemical genetics physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in Rhode Island and 79 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Chanika Phornphutkul
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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