CHANAVUTH KANITSORAPHAN (NPI# 1205329216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205329216 |
| Entity Type | Individual |
| Full Name | CHANAVUTH KANITSORAPHAN |
| Credential | MD |
| Practice Address |
1356 Lusitana St Ste 510 Honolulu HI 96813-2409 |
| Practice Telephone | 8084622776 |
| Mailing Telephone | 8084622776 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | HI | Student, Health Care |
| Street Address |
1356 LUSITANA ST STE 510 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569550 | Hawaii Residency Programs Inc. | Psychiatric Hospital | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2421 | 2007-05-21 |
| 1972097848 | Keisuke Abe | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-06-14 |
| 1972097855 | Jakrin Kewcharoen | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-06-14 |
| 1508359514 | Raktham Mekritthikrai | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-06-13 |
| 1851883250 | Amy Wry Jenkins | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-05-31 |
| 1992295273 | Shota Jason Kamo | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-05-13 |
| 1871082818 | Rachel Santiago | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-05-04 |
| 1457840563 | Lindsey Ella Heathcock | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-05-03 |
| 1578051090 | Soyun Michelle Hwang | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-04-30 |
| 1801384565 | Antonette Hernandez | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132336 | Da Eun Suh | Student in an Organized Health Care Education/Training Program | 2350 Dole St # C400, Honolulu, HI 96822-2410 | 2020-07-23 |
| 1629697347 | Ryan Yee | Student in an Organized Health Care Education/Training Program | 4133 Paloma Pl, Honolulu, HI 96816-3931 | 2020-04-13 |
| 1558997510 | Ashley-anne Feria Makaula | Student in an Organized Health Care Education/Training Program | 520 Lunalilo Home Rd Unit 255, Honolulu, HI 96825-1721 | 2020-03-20 |
| 1922633163 | Eden Koo | Student in an Organized Health Care Education/Training Program | 1013 Waieli St, Honolulu, HI 96821-1242 | 2020-03-09 |
| 1215574090 | Celeste C Ashimine | Student in an Organized Health Care Education/Training Program | 694 Aipo St, Honolulu, HI 96825-2445 | 2019-11-29 |
| 1316408446 | Yuree Namkung | Student in an Organized Health Care Education/Training Program | 2229 N. School St., Honolulu, HI 96819-2588 | 2019-03-29 |
| 1073073482 | Rachel Lee | Student in an Organized Health Care Education/Training Program | 1670 Makaloa St Ste 202, Honolulu, HI 96814-3232 | 2019-03-21 |
| 1851850853 | Laylah Rose Zelko | Student in an Organized Health Care Education/Training Program | 1630 Lusitana St Apt C, Honolulu, HI 96813-1625 | 2019-03-19 |
| 1699249904 | Kathreece Farrales | Student in an Organized Health Care Education/Training Program | 4110 Napali Pl, Honolulu, HI 96816-4312 | 2019-01-20 |
| 1861993131 | Victoria Alexandra Maxon | Student in an Organized Health Care Education/Training Program | 1 Jarret Wright Rd, Tripler Army Medical Center, Honolulu, HI 96859-5001 | 2018-02-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.