Provider Demographics
NPI:1942229141
Name:CHAIPAT, PATRICK PRATEEP (MD)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:PRATEEP
Last Name:CHAIPAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:PRATEEP
Other - Middle Name:
Other - Last Name:CHAIPAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:24411 HEALTH CENTER DR
Mailing Address - Street 2:SUITE 375
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3651
Mailing Address - Country:US
Mailing Address - Phone:949-855-1158
Mailing Address - Fax:949-855-1811
Practice Address - Street 1:24411 HEALTH CENTER DR
Practice Address - Street 2:SUITE 375
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3651
Practice Address - Country:US
Practice Address - Phone:949-855-1158
Practice Address - Fax:949-855-1811
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32057207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA32057Medicare ID - Type Unspecified
A87613Medicare UPIN