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Wikrom Chaiwatcharayut, M.D.

Internal Medicine in Ventura, CA. Individual provider (NPI-1).

NPI number1306259809
StatusActive
Last updated in NPPESJul 22, 2021

Details

NPI
1306259809
Entity type
Individual (NPI-1)
Name
Wikrom Chaiwatcharayut
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2014
Certification date
Jul 22, 2021
Last updated
Jul 22, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA144707CAYes
207R00000X Internal Medicine2021-02077NC

Practice location

200 S Wells Rd
Ventura, CA 93004-1377

Phone 805-647-6322 · Fax 805-647-7164

Mailing address

1843 Quiet Cv
Fayetteville, NC 28304-3857

Phone 910-483-8080

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Ventura, CA

All 77 Internal Medicine Physician providers in Ventura · All 5,428 providers in Ventura

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