| Dr Kraivit Angsupanich, MD | |
|
801 11th St, Suite 1, Lakeport, CA 95453-4100 | |
| (707) 262-5568 | |
| (707) 263-6888 |
| Full Name | Dr Kraivit Angsupanich |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 801 11th St, Lakeport, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275630196 | NPI | - | NPPES |
| 020049565 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A34208 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kraivit Angsupanich, MD 801 11th St, Suite 1, Lakeport, CA 95453-4100 Ph: (707) 262-5568 | Dr Kraivit Angsupanich, MD 801 11th St, Suite 1, Lakeport, CA 95453-4100 Ph: (707) 262-5568 |
Dr. Keith Phillip Donald, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E, Suite 201, Lakeport, CA 95453 Phone: 707-263-4108 Fax: 707-263-4101 | |
Stephen Peter Bradley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5375 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-5679 Fax: 707-263-7781 |