Individual
DR. CHAYANIN VATCHARASIRITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 HEART DR., ECU PHYSICIANS, GREENVILLE, NC 27834
(252) 744-4400
(252) 744-3987
Mailing address
P.O. BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2009-00186
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15301
BCBSNC
NC
01
—
219234
MEDCOST
NC
05
—
5911861
—
NC
Enumeration date
05/14/2009
Last updated
11/30/2010
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