Prasit Aranyarachkul, DDS
Individual provider Active NPI Periodontics · Saratoga, CA
NPI 1972786291 · NPPES record last updated Jul 21, 2009
Key facts
- NPI
- 1972786291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 56274 (CA)
- Practice address
- 1848 Saratoga Ave
Suite 6B
Saratoga, CA 95070-6612 - Phone
- (408) 306-8759
- NPI assigned
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56274 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 56274 | CA | Yes |
Addresses
Primary practice location
1848 Saratoga Ave
Suite 6B
Saratoga, CA 95070-6612
Mailing address
1848 Saratoga Ave
Suite 6B
Saratoga, CA 95070-6612
Phone (408) 306-8759
Other providers in Saratoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.