Individual provider · Type 1 NPI

Pichayut Nithagon, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1922672849 Active

Practice location

3400 Spruce Street, 7.055 Gates
Philadelphia, PA 19104

Call (215) 662-6550 Map

Fax (215) 615-3931

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922672849

Pichayut Nithagon, MD's National Provider Identifier is 1922672849, issued on May 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 28, 2025.