Chariyawong, Phumpattra

Chariyawong, Phumpattra is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Chariyawong, Phumpattra can be contacted via phone (207) 662-4618.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-4618
Fax: (207) 662-6254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T3600 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD30158 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD30158 Maine

Profile Details

NPI number 1740665553
LBN Legal business name Chariyawong, Phumpattra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2015
Last updated Mar 5th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740665553 NPPES
Texas Other T3600 TEXAS MEDICAL BOARD

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