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1558647495 NPI number — SUCHADA CHAIWECHAKARN M.D.

NPI Number: 1558647495
Health Care Provider/Practitioner: SUCHADA CHAIWECHAKARN M.D.

Information about “1558647495” NPI (SUCHADA CHAIWECHAKARN M.D.) exists in 1558647495 in HTML format HTML  |  1558647495 in plain Text format TXT  |  1558647495 in PDF (Portable Document Format) PDF  |  1558647495 in an XML format XML  formats.

NPI Number : 1558647495 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558647495",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAIWECHAKARN",
    "FirstName": "SUCHADA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "788 PATRICK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COOS BAY",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97420",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-288-9814",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1900 WOODLAND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COOS BAY",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97420-2045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-267-5151",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/24/2011",
    "LastUpdateDate": "04/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "MD458574",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "MD193408",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "MD61487464",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "35098115",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "16026",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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