Provider Demographics
NPI:1689786345
Name:NGARMUKOS, TACHAPONG (MD)
Entity Type:Individual
Prefix:
First Name:TACHAPONG
Middle Name:
Last Name:NGARMUKOS
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 1:63 SOI SAILOM
Mailing Address - Street 2:PHAHOLYOTHIN ROAD
Mailing Address - City:PHAYATHAI, BANGKOK
Mailing Address - State:TH
Mailing Address - Zip Code:10400
Mailing Address - Country:TH
Mailing Address - Phone:662-201-1617
Mailing Address - Fax:
Practice Address - Street 1:RAMATHIBODI UNIVERSITY HOSPTITAL
Practice Address - Street 2:RAMA 6TH ROAD
Practice Address - City:PHAYATHAI, BANGKOK
Practice Address - State:TH
Practice Address - Zip Code:10400
Practice Address - Country:TH
Practice Address - Phone:662-201-1617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine