Individual
PAWAN CHANSAENROJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2161
Mailing address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F471
CA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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