Charnsangavej, Chutaporn

Charnsangavej, Chutaporn is an individual health care provider with primary practice located at 1411 S Potomac St Suite 450, Aurora CO 80012-4536. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Legal Medicine, Other Service Providers / Legal Medicine. Other Service Providers / Legal Medicine is her primary health care specialty. Charnsangavej, Chutaporn can be contacted via phone (303) 695-4800.

Contact Information

Primary practice address
1411 S Potomac St Suite 450 Aurora CO 80012-4536
Phone: (303) 695-4800
Fax: (303) 695-4821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DR.0042540 Colorado
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X DR.0042540 Colorado
Other Service Providers / Legal Medicine 173000000X 42540 Colorado

Profile Details

NPI number 1174694483
LBN Legal business name Charnsangavej, Chutaporn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated May 10th, 2021 - about 4 years 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 1174694483 NPPES
Colorado MEDICAID 07552343

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