PREMWADEE K CHANTRA MD
NPI 1295766384
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since July 06, 2006
10833 LE CONTE AVE, LOS ANGELES, CA 90095(310) 825-4721 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premwadee K Chantra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMWADEE K CHANTRA MD (NPI 1295766384) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A30579) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295766384
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePREMWADEE K CHANTRACredential: MD
Location Address10833 LE CONTE AVELos Angeles, CA 90095-3075
Mailing Address5767 W. Century BlvdLos Angeles, CA 90094-3075
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 9, 2008
NPI 1295766384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A30579
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10833 LE CONTE AVE, Los Angeles, CA 90095

Other Identifiers 4

Medicare PINWA30579BCA
Medicare UPINF49727CA
Medicaid00A305790CA
Medicare PINWA30579CCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premwadee Chantra's NPI number?

The NPI number for Premwadee Chantra is 1295766384. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Premwadee Chantra located?

Premwadee Chantra practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (310) 825-4721.

What is Premwadee Chantra's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Premwadee Chantra was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.