SIRAPHOB CHANSANGAVEJ

SAN RAFAEL, CA
NPI1386268027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: LA  337657)
Enumeration Date2020-05-28
Last Update Date2024-08-13
Business Address
SIRAPHOB CHANSANGAVEJ MD
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-791-1329
Mailing Address
SIRAPHOB CHANSANGAVEJ MD
6208 S ROCHEBLAVE ST APT B
NEW ORLEANS, LA 70125-4223
Phone number: 504-400-3509
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