Individual
CHANIKA PHORNPHUTKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8361
(401) 444-3288
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-8361
(401) 444-3288
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
MD10121
RI
2080P0205X
Pediatric Endocrinology Physician
10121
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP46587
—
RI
Enumeration date
05/23/2006
Last updated
12/21/2011
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