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Chanika Phornphutkul, MD
Clinical Biochemical Genetics Physician in Providence, Rhode Island
NPI 1639124530

Chanika Phornphutkul is a Clinical Biochemical Genetics Physician based in Providence, RI and is specialized in Clinical Biochemical Genetics. Chanika Phornphutkul practices in Providence, RI and has the professional credentials of MD. The NPI Number for Chanika Phornphutkul is 1639124530 and holds a License No. 10121 (Rhode Island).

The current practice location address for Chanika Phornphutkul is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-8361 and via fax at 401-444-3288.

Location: 593 Eddy St, Providence, RI, 02903-4923
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Provider Profile Details
NPI Number
1639124530
Provider Name
Chanika Phornphutkul
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
401-444-8361
Fax Number
401-444-3288
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP46587 05 RI
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-8361
Fax Number
401-444-3288
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-8361
Fax Number
401-444-3288
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Biochemical Genetics
Taxonomy
License No.
MD10121 (Rhode Island)
Definition
A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Endocrinology
Taxonomy
License No.
10121 (Rhode Island)
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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