Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanak Chantachote, MD

Individual provider Surgical Critical Care Physician · NPI 1093004384

Chanak Chantachote, MD is a Surgical Critical Care Physician in Northport, New York. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Department Of Surgery 79 Middleville Rd
Northport, NY 11725
Phone: (631) 261-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence A143223 (CA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence A143223 (CA)

Record details

NPI number1093004384
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2011
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 8, 2020