Punyadech Photangtham, MD
Punyadech Photangtham, MD is registered under Family Practice in New York, New York. Graduated from George Washington University School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 30
- Trained at
- George Washington University School of Medicine
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3875 Broadway Unit BNew York, NY 10032-1567 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 543-3110
Fax: (212) 543-3111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 211187 (NY) |
|---|
Record details
| NPI number | 1083700926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2006 |
| Last updated in NPPES | December 2, 2015 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 251 |
| Average patient age | 72 |
Payments from drug and device companies, 2025
| Food and Beverage | $112 |
|---|---|
| Education | $32 |
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