Patrawadee Duangjak, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

35-03-6105 Issued in OH

Practice address

13207 Ravenna Rd
Chardon, OH 44024-7032

Phone

(440) 285-6351

Fax

(440) 285-6128

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336258458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6351",
            "fax_number": "440-285-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6351",
            "fax_number": "440-285-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUANGJAK",
        "first_name": "PATRAWADEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "35-03-6105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Natalina Andreani Inc
• Dr Stephen C Sulyi OD LLC
• Delaney Tesson Drew, MD, MPH
• Sarah Jane Drewlo
• Carmyn Dryer
• Vichaie Duangjak, M.D.
• Megan Jeanette Duderstadt
• Ashley Dudinsky
• Colleen Ann Dumm, PT
• Linda K Dundon, PT

• Anatomic Pathology Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Anatomic Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.