# DR. CHUTAPORN CHARNSANGAVEJ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174694483
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 42540 | CO | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | DR.0042540 | CO | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | DR.0042540 | CO | — |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 05/10/2021