Dr PORNCHAI KITTIVARAKARN is a male medical professional, specializing in Internal Medicine. He graduated in 2015.
TAOS INPATIENT SERVICES LLC
14000 FIVAY RD
HUDSON
FL
346677103
Tel: 7278192929
| Npi | 1427436385 |
| Pac Id | 6204142508 |
| Professional Enrollment Id | I20180621000431 |
| Last Name | KITTIVARAKARN |
| First Name | PORNCHAI |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TAOS INPATIENT SERVICES LLC |
| Group Practice Pac Id | 7113249392 |
| Number Of Group Practice Members | 13 |
| Line 1 Street Address | 14000 FIVAY RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HUDSON |
| State | FL |
| Zip Code | 346677103 |
| Phone Number | 7278192929 |
| Hospital Affiliation Ccn 1 | 100256 |
| Hospital Affiliation Lbn 1 | REGIONAL MEDICAL CENTER BAYONET POINT |
| Hospital Affiliation Ccn 2 | 100063 |
| Hospital Affiliation Lbn 2 | MORTON PLANT NORTH BAY HOSPITAL |
| Hospital Affiliation Ccn 3 | 100191 |
| Hospital Affiliation Lbn 3 | MEDICAL CENTER OF TRINITY |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.