Organization Name: | CHET PHITAYAKORN, MD PC |
NPI Number: | 1023039229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHET PHITAYAKORN (PRESIDENT) |
Mailing Address: | 575 Coal Valley Rd Suite 365 Clairton |
State: | PA US |
Postal Code: | 150253730 |
Phone Number: | 4124697030 |
Fax Number: | 4124697160 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | MD031414L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |