Dittana Phoncharoensri in Charlotte - Sleep Medicine
Dittana Phoncharoensri - NPI 1750585170
Dittana Phoncharoensri is a Sleep Medicine in Charlotte, North Carolina. Dittana Phoncharoensri practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Dittana Phoncharoensri is 1750585170. The last update date is 2020-10-25.
Dittana Phoncharoensri's current location address is Po Box 60447, Charlotte, North Carolina. You can contact this provider via phone number 3368933180 and fax number 3368933189. The mailing address for Dittana Phoncharoensri is Po Box 60447, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dittana Phoncharoensri |
|---|---|
| Address | Po Box 60447, Charlotte, North Carolina |
| Phone Number | 3368933180 |
| Fax Number | 3368933189 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750585170 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2020-10-25 |
Provider Mailing Address Detail
| Address | Po Box 60447 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282600447 |
| Phone Number | 3368933180 |
| Fax Number | 3368933189 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 201300784 |
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Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750585170 | NC | -- |
Post Comment/ Review Below
What is the Dittana Phoncharoensri's unique identification number?
The Dittana Phoncharoensri has been assigned the NPI (National Provider Identifier) Number 1750585170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dittana Phoncharoensri is located?
The Dittana Phoncharoensri is situated at the following address: Po Box 60447, Charlotte, NC, 282600447.
What is Dittana Phoncharoensri's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dittana Phoncharoensri is Sleep Medicine, and the taxonomy code that categorizes this field of expertise is 2084S0012X.
On what date did the Dittana Phoncharoensri receive the assignment of its 1750585170 from the Centers for Medicare & Medicaid Services?
The Dittana Phoncharoensri was issued its 1750585170 by the Centers for Medicare & Medicaid Services on 2007-06-11.
When was the Dittana Phoncharoensri's information last updated?
The Dittana Phoncharoensri's information was last updated on 2020-10-25.