Tajyant Nat Chotechuang in Bend - Podiatrist

Tajyant Nat Chotechuang - NPI 1396757431

Tajyant Nat Chotechuang is a Podiatrist in Bend, Oregon. Tajyant Nat Chotechuang practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Tajyant Nat Chotechuang is 1396757431. The last update date is 2011-07-22.

Tajyant Nat Chotechuang's current location address is 1510 Sw Nancy Way Ste 2, Bend, Oregon. You can contact this provider via phone number 5413857129 and fax number 5413857138. The mailing address for Tajyant Nat Chotechuang is 1510 Sw Nancy Way Ste 2, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Tajyant Nat Chotechuang
Address 1510 Sw Nancy Way Ste 2, Bend, Oregon
Phone Number 5413857129
Fax Number 5413857138
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1396757431
Provider Enumeration Date 2006-08-13
Last Updated Date 2011-07-22

Provider Mailing Address Detail

Address 1510 Sw Nancy Way Ste 2
City Bend
State Oregon (OR)
Post Code 977023256
Phone Number 5413857129
Fax Number 5413857138

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No DP00339
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20-2456582 OR TAX ID
865318005 OR BLUE CROSS
181419 OR --

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FAQs about Tajyant Nat Chotechuang

What is the Tajyant Nat Chotechuang's unique identification number?

The Tajyant Nat Chotechuang has been assigned the NPI (National Provider Identifier) Number 1396757431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Tajyant Nat Chotechuang's physical address?

The Tajyant Nat Chotechuang is physically located at 1510 Sw Nancy Way Ste 2, in the city of Bend, OR, with the postal code 977023256.

What is Tajyant Nat Chotechuang's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tajyant Nat Chotechuang's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396757431 to Tajyant Nat Chotechuang?

The Tajyant Nat Chotechuang received its 1396757431 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.

As of what date were the details related to Tajyant Nat Chotechuang most recently updated or revised?

The information pertaining to Tajyant Nat Chotechuang, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-22.

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