Chanakarn Kanitthamniyom, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3601 4TH St, Texas Tech University Health Sciences Cent
Lubbock, TX 79430

Phone

(806) 743-6840

NPI assigned

May 29, 2024

Reactivated

Feb 5, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1407696313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST, TEXAS TECH UNIVERSITY HEALTH SCIENCES CENT",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79430",
            "telephone_number": "806-743-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST, TEXAS TECH UNIVERSITY HEALTH SCIENCES CENT",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79430",
            "telephone_number": "806-743-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANITTHAMNIYOM",
        "first_name": "CHANAKARN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "deactivation_date": "2025-01-14",
        "reactivation_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Kane, DPT
• Hyunjung Kang, CRNA
• Jordan Rose Kang, DO
• June Kang, DO
• Prathna Kang
• Jacob Thomachan Kannarkat, MD
• Adaobi Kanu, MD
• Karim Shoujaa DC
• Alikhan Karimi
• Ayman Karkoutly, M.D.

• Student in an Organized Health Care Education/Training Program in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.