Individual
MR. DITTANA PHONCHAROENSRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
152 E KINDERTON WAY STE 101, BERMUDA RUN, NC 27006-7351
(336) 893-3180
(336) 893-3189
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 893-3180
(336) 893-3189
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
201300784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750585170
—
NC
Enumeration date
06/11/2007
Last updated
10/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us