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NPI Code Detail

MEDICARE: CHOKCHAI CHAREANDEE MD

MEDICARE:   CHOKCHAI  CHAREANDEE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician34543IA
2207RN0300XNephrology Physician42771WI
3207RN0300XNephrology Physician45942MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730184078
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHOKCHAI CHAREANDEE MD
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line : MS21110Q
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number : 952-883-5375
Fax Number : 651-254-7851
Provider Business Practice Location Address
First Line : 205 WABASHA ST S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55107-1805
Country : US
Telephone Number : 651-293-8100
Fax Number : 651-293-8106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 06/13/2019

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Directions to “ CHOKCHAI CHAREANDEE MD” Practice Location

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