Nirandr Inthachak (NPI# 1013900489, PAC ID# 2961580584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013900489 |
| PAC ID by PECOS | 2961580584 |
| Professional Enrollment ID | I20080423000279 |
| Full Name | Nirandr Inthachak |
| Organization Legal Name | RADIOLOGY ASSOC OF SOUTH GA, P.C. |
| Address |
1101 Ocilla Rd Douglas GA 30533-1287 |
| Phone Number | 9123841900 |
| Gender | M |
| Graduation Year | 1972 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2668649666 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110089 | COFFEE REGIONAL MEDICAL CENTER |
| 111308 | CLINCH MEMORIAL HOSPITAL |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 111333 | JEFF DAVIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1101 Ocilla Rd, Douglas, GA 30533-1287 | 9123841900 | RADIOLOGY ASSOC OF SOUTH GA, P.C. |
| 1050 Valdosta Hwy, Homerville, GA 31634-0516 | 9124875211 | CLINCH COUNTY HOSPITAL AUTHORITY |
| Organization Legal Name | RADIOLOGY ASSOC OF SOUTH GA, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Somnuk Pow Anpongkul | Diagnostic Radiology | Radiology Assoc of South Ga, P.C. | 1101 Ocilla Rd, Douglas, GA 30533-1287 |
| Street Address |
1101 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip | 30533-1287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Paul Ives | Anesthesiology | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Krishnan Arunachalam | Internal Medicine | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Dennis C Harper | Internal Medicine | Coffee County Hospitalist Physicians LLC | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Somnuk Pow Anpongkul | Diagnostic Radiology | Radiology Assoc of South Ga, P.C. | 1101 Ocilla Rd, Douglas, GA 30533-1287 |
| Linda Michelle Bixler | Nurse Practitioner | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Christopher M Jones | Anesthesiology | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| John B Abell | Internal Medicine | Coffee County Hospitalist Physicians LLC | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Anil H Nair | Internal Medicine | Coffee County Hospitalist Physicians LLC | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Pravin K Jain | Anesthesiology | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Willie W Bell | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1101 Ocilla Rd, Suite A, Douglas, GA 31533-2207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toby J Hopkins | Chiropractic | 582 Grove St N, Suite B, Dahlonega, GA 30533-0349 | |
| Richard G Jabaley | Optometry | 431 N Grove St C, Dahlonega, GA 30533-0437 | |
| Danielle R Herendeen | Clinical Social Worker | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Tessa K Rasch | Clinical Social Worker | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Wesley Seabolt | Psychiatry | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Michele L Malone | Clinical Social Worker | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Ajita Joglekar | Psychiatry | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Melissa L Vaughn | Clinical Social Worker | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Ressy Mathews | Psychiatry | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Dana M Reid | Psychiatry | Georgia Mountains Community Services | 150 A Johnson St, Dahlonega, GA 30533-0501 |
| Find all physicians in zip 30533 | |||
| City | DOUGLAS |
| Zip Code | 30533 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DOUGLAS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Nirandr Inthachak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.