Provider Demographics
NPI:1255507877
Name:THANASAWAT, CHALERMKIAT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHALERMKIAT
Middle Name:
Last Name:THANASAWAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27500 168TH PL SE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-5563
Mailing Address - Country:US
Mailing Address - Phone:425-690-3435
Mailing Address - Fax:425-690-9435
Practice Address - Street 1:27500 168TH PL SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-5563
Practice Address - Country:US
Practice Address - Phone:425-690-3435
Practice Address - Fax:425-690-9435
Is Sole Proprietor?:No
Enumeration Date:2008-05-03
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3449207P00000X
MN52891207R00000X
WAMD61069902207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine