CHICOT RADIOLOGY CONSULTANT NPI 1437215878

NPI Information

  • NPI: 1437215878
  • Provider Name: CHICOT RADIOLOGY CONSULTANT
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2729 S HIGHWAY 65 82
    LAKE VILLAGE, AR
    ZIP 71653
  • Phone: (870) 265-5074

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NPI Details

CHICOT RADIOLOGY CONSULTANT is a specialist in Lake Village, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHICOT RADIOLOGY CONSULTANT NPI is 1437215878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2729 S HIGHWAY 65 82
LAKE VILLAGE, AR
ZIP 71653-136
Phone: (870) 265-5074

The provider's authorized official is Theerasak Tuangsithtanon .
The authorized official title is Radiology and has the following contact phone number (870) 265-5074.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialistR2928Yes

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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