Individual
CHOKCHAI CHAREANDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8100
(651) 293-8106
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-7851
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
34543
IA
207RN0300X
Nephrology Physician
42771
WI
207RN0300X
Nephrology Physician
Primary
45942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34128300
—
WI
Enumeration date
06/14/2005
Last updated
06/13/2019
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