Supavit Chesdachai, M.D.
Internal Medicine, Infectious Disease in Rochester, MN. Individual provider (NPI-1).
NPI number1982138228
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1982138228
- Entity type
- Individual (NPI-1)
- Name
- Supavit Chesdachai
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2017
- Certification date
- Nov 14, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 66907 | MN | Yes |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Other practice locations
404 W Fountain St
Albert Lea, MN 56007-2437
Albert Lea, MN 56007-2437
Phone 507-373-2384
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