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Kraivit Angsupanich, M.D
NPI 1275630196 · on the registry since 2006 · sole proprietor
Practice
- Address
- 801 11th St
Suite 1
Lakeport, CA 95453 - Phone
- (707) 262-5568
- Fax
- (707) 263-6888
- Organisation at this address
- Adventist Health Physicians Network
Adventist Health Clearlake Hospital, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California