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NPI Verification

National Provider Identifier: 1942250659

Kongsak Chantornsaeng, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (4)

Emergency Medicine

Code: 207P00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

403 E 11TH ST

PANAMA CITY, FL 324013409

Phone: 185-074-7559

NPI Enumeration Date

May 11, 2006

NPI Number

1942250659

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry