Individual provider · Type 1 NPI

Chanika Phornphutkul, MD

Clinical Biochemical Genetics Physician · Providence, RI

NPI number 1639124530 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-8361 Map

Fax (401) 444-3288

Specialties and licenses

TaxonomyCodeLicense
Pediatric Endocrinology Physician 2080P0205X10121 (RI)
Clinical Biochemical Genetics Physician Primary 207SG0202XMD10121 (RI)

Clinical Biochemical Genetics Physician: 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.

2,340 other providers at this address

About NPI 1639124530

Chanika Phornphutkul, MD's National Provider Identifier is 1639124530, issued on May 23, 2006. The primary taxonomy on file is Clinical Biochemical Genetics Physician (207SG0202X), and the practice location is in Providence, RI. The record was last updated on Dec 21, 2011.