CHANAK CHANTACHOTE M.D. NPI 1093004384

NPI Information

  • NPI: 1093004384
  • Provider Name: CHANAK CHANTACHOTE, M.D.
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • Address: DEPARTMENT OF SURGERY
    79 MIDDLEVILLE RD
    NORTHPORT, NY
    ZIP 11725
  • Phone: (631) 261-4400

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NPI Details

Chanak Chantachote, M.D. is a surgical critical care surgery in Northport, NY. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Chanak Chantachote, M.D. NPI is 1093004384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

DEPARTMENT OF SURGERY
79 MIDDLEVILLE RD
NORTHPORT, NY
ZIP 11725
Phone: (631) 261-4400

The enumeration date for this NPI number is 4/7/2011 and was last updated on 9/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0127XSurgeryTrauma SurgeryA143223CALIFORNIANo
22086S0102XSurgerySurgical Critical CareA143223CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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