Provider Demographics
NPI:1972615607
Name:CHAINAKUL, PACHNEERAT (MD)
Entity Type:Individual
Prefix:DR
First Name:PACHNEERAT
Middle Name:
Last Name:CHAINAKUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PAT
Other - Middle Name:
Other - Last Name:CHAINAKUL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2029 GORDON COOPER DR
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-9005
Mailing Address - Country:US
Mailing Address - Phone:405-878-4702
Mailing Address - Fax:405-878-4540
Practice Address - Street 1:2029 GORDON COOPER DR
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-9005
Practice Address - Country:US
Practice Address - Phone:405-878-4702
Practice Address - Fax:405-878-4540
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12548208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics