Puangpetch Chanbusarakum in Madison - Internal Medicine

Puangpetch Chanbusarakum - NPI 1275656647

Puangpetch Chanbusarakum is a Internal Medicine in Madison, Wisconsin. Puangpetch Chanbusarakum practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Puangpetch Chanbusarakum is 1275656647. The last update date is 2014-07-10.

Puangpetch Chanbusarakum's current location address is 5005 Cottage Grove Rd, Madison, Wisconsin. You can contact this provider via phone number 6082671445. The mailing address for Puangpetch Chanbusarakum is 5005 Cottage Grove Rd, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Puangpetch Chanbusarakum
Address 5005 Cottage Grove Rd, Madison, Wisconsin
Phone Number 6082671445
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1275656647
Provider Enumeration Date 2007-04-09
Last Updated Date 2014-07-10

Provider Mailing Address Detail

Address 5005 Cottage Grove Rd
City Madison
State Wisconsin (WI)
Post Code 537161309
Phone Number 6082671445
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 21116
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Puangpetch Chanbusarakum

What is the unique 10-digit identification code assigned to Puangpetch Chanbusarakum by the Centers for Medicare & Medicaid Services?

The Puangpetch Chanbusarakum has been issued the NPI (National Provider Identifier) 1275656647, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Puangpetch Chanbusarakum is physically located?

The Puangpetch Chanbusarakum is physically situated at the following address: 5005 Cottage Grove Rd, Madison, WI, 537161309.

What is the Puangpetch Chanbusarakum's specialty and taxonomy code?

The Puangpetch Chanbusarakum's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date was the 1275656647 assigned to Puangpetch Chanbusarakum?

The Puangpetch Chanbusarakum was issued its 1275656647 on 2007-04-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Puangpetch Chanbusarakum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Puangpetch Chanbusarakum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-07-10.

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