SOUK CHANTHABOURY IDMT
NPI 1750516977
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AE

Active since May 18, 2009
PSC 112, APO, AE 09717 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Souk Chanthaboury Idmt NPPES

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

SOUK CHANTHABOURY IDMT (NPI 1750516977) is an individual independent duty medical technicians provider in Apo, AE and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1750516977
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameSOUK CHANTHABOURYCredential: IDMT
Location AddressPSC 112Apo, AE 09717-9998
Mailing AddressPsc 112 Box 62Apo, AE 09717-0001 · 0031413335950
Sole ProprietorNo
Enumeration DateMay 18, 2009
Last NPPES UpdateMay 4, 2010
NPI 1750516977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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 Souk Chanthaboury's NPI number?

The NPI number for Souk Chanthaboury is 1750516977. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Souk Chanthaboury located?

Souk Chanthaboury practices at Psc 112, Apo, AE 09717.

What is Souk Chanthaboury's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Souk Chanthaboury was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.