Dr. Kruawan - Paksaichol
Internal Medicine

Address: 123 Pennsylvania Ave, Brooklyn, NY 11207-2428
Phone: 7189223765

Dr. Kruawan - Paksaichol (NPI# 1417949686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1417949686
Entity Type Individual
Full Name Dr. Kruawan - Paksaichol
Credential M.D.
Gender Female
Practice Address 123 Pennsylvania Ave
NY 11207-2428
Practice Telephone 7189223765
Practice Fax Number 7189223765
Mailing Address 25555 149th Ave
NY 11422-2812
Mailing Telephone 7187122849
Mailing Fax Number 7189223765
Sole Proprietor Not Answered
Enumeration Date 2005-08-15
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 135912 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 00427610 MEDICAID

Physician Overview

NPI 1417949686
PAC ID by PECOS 3274676366
Professional Enrollment ID I20100212000060
Full Name Kruawan Paksaichol
Phone Number 7189223765
Gender F
Graduation Year 1970
Accepts Medicare Assignment Y

Office Location

Street Address 123 PENNSYLVANIA AVE
State NY
Zip Code 11207-2428

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356817142 Tajeet Singh Licensed Practical Nurse 174 East 51, Brooklyn, NY 11207 2018-10-18
1801306147 Ebony Herring Counselor 2640 Pitkin Avenue, Brooklyn, NY 11207 2017-09-30
1780106153 Ivonne Perry Registered Nurse 35 Mc Clancy Pl, Brooklyn, NY 11207 2017-07-07
1548700925 Special Medical PC Family Medicine 699 B Stanley Avenue, Brooklyn, NY 11207 2017-03-03
1003368333 Alison Deborah Kahler Social Worker 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 2016-11-03
1942757836 Melissa Santana Counselor Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 2016-09-08
1871943050 Joan Murrell Licensed Practical Nurse 297 Bradford St, Brooklyn, NY 11207 2016-06-17
1386019321 Marta Josephine Jablonka I Peer Specialist 137 Dewitt Ave, Brooklyn, NY 11207 2015-12-02
1467837997 Dhalene Wharton Licensed Practical Nurse 540 Shefield Ave, Brooklyn, NY 11207 2015-07-27
1265816102 Sanghee Park Nurse Practitioner 51 Georgia Ave, Brooklyn, NY 11207 2015-07-09
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689146417 Frederik Peter Lindberg Internal Medicine 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 2018-12-18
1598233033 Greenfield Medical Internal Medicine 1716 E 28th St, Brooklyn, NY 11229-2513 2018-11-02
1669964904 Omni Medical Arts PC Internal Medicine 514 Ocean Pkwy Lbby 2, Brooklyn, NY 11218-5888 2018-06-02
1942792494 Quyuan Chen, Md LLC Internal Medicine 8701 A Shore Road, Brooklyn, NY 11209-4204 2018-05-31
1992206247 Medicine Mobile PC Internal Medicine 728 Ocean View Ave Apt B1, Brooklyn, NY 11235-6325 2018-02-22
1275048498 P & P Medical Services Pllc Internal Medicine 2948 Voorhies Ave, Brooklyn, NY 11235-1616 2017-12-11
1942715560 Gordon Schectman Medical, LLC Internal Medicine 2952 Brighton 3rd St Ste 401, Brooklyn, NY 11235-6897 2017-12-05
1699289942 Hossam Eldin Shawky Fayed Internal Medicine 421 78th St Ste C, Brooklyn, NY 11209 2017-11-23
1205340502 Have Doctor Will Travel Medical PC Internal Medicine 1573 E 22nd St, Brooklyn, NY 11210-5109 2017-11-22
1952814295 Guedem Edwige Nkwenti Internal Medicine 1402 Bushwick Ave, Brooklyn, NY 11207-1429 2017-11-08
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Zip Code 11207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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