Chad Viriya Ith in Santa Clara - Physician Assistant

Chad Viriya Ith - NPI 1932170578

Chad Viriya Ith is a Physician Assistant in Santa Clara, California. Chad Viriya Ith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chad Viriya Ith is 1932170578. The last update date is 2022-01-11.

Chad Viriya Ith's current location address is 710 Lawrence Expy, Santa Clara, California. You can contact this provider via phone number 4088511850 and fax number 4088511871. The mailing address for Chad Viriya Ith is 710 Lawrence Expy, Santa Clara, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad Viriya Ith
Address 710 Lawrence Expy, Santa Clara, California
Phone Number 4088511850
Fax Number 4088511871
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1932170578
Provider Enumeration Date 2006-01-31
Last Updated Date 2022-01-11

Provider Mailing Address Detail

Address 710 Lawrence Expy
City Santa Clara
State California (CA)
Post Code 950515173
Phone Number 4088511850
Fax Number 4088511871

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA18527
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1611 CT PA LICENSE
4236007 CT --
37374 CT CONTROLLED SUBSTANCE

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FAQs about Chad Viriya Ith

What is the Chad Viriya Ith's unique identification number?

The Chad Viriya Ith has been assigned the NPI (National Provider Identifier) Number 1932170578 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 Chad Viriya Ith is located?

The Chad Viriya Ith is situated at the following address: 710 Lawrence Expy, Santa Clara, CA, 950515173.

What is the Chad Viriya Ith's area of specialization and corresponding taxonomy classification?

The Chad Viriya Ith's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When was the Chad Viriya Ith's 1932170578 issued?

The Chad Viriya Ith's 1932170578 was issued on 2006-01-31.

When was the information related to Chad Viriya Ith most recently updated or refreshed?

The details pertaining to the Chad Viriya Ith, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-11.

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