| Doctor Name: | MR. NANTHAPHONGE CHIRANAND |
| NPI Number: | 1922146562 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | F5859 |
| Business Practice Address: | 2100 Preston St Richmond, TX - 774691419 |
| Business Phone Number: | 2813444223 |
| Business Fax Number: | 2813444606 |
| Mailing Address: | 2100 Preston St, RICHMOND |
| State: | TX |
| Postal Code: | 774691419 |
| Phone Number: | 2813444223 |
| Fax Number: | 2813444606 |
| NPI Enumeration Date: | 02/04/2007 |
| NPI Last Update Date: | 12/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F5859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |