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General NPI Number Information
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NPI Number | 1831118942
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Entity Type | Individual
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Provider Name | VEERAPARN KANCHANANAKHIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/30/2013
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Provider Practice Location Address
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Address Line | 2330 W COVELL BLVD
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City | DAVIS
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State | CA
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Zip | 95616-5658
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Country | US
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Telephone | 530-406-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 4849 EL CEMONTE AVE APT 161
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City | DAVIS
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State | CA
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Zip | 95616-4448
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Country | US
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Telephone | 808-258-9189
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A93614
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License Number State | CA
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