IndividualActive
Dittana Phoncharoensri, M.D.
NPI 1750585170 · Sleep Medicine (Psychiatry & Neurology) Physician · Bermuda Run, NC
Provider details
- NPI number
- 1750585170
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 201300784 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
152 E Kinderton Way Ste 101
Bermuda Run, NC 27006-7351
Phone: (336) 893-3180
Fax: (336) 893-3189
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Additional practice locations (2)
- 606 N Elm StHigh Point, NC 27262-4332Phone: (336) 889-8877Fax: (336) 889-5250
- 606 N Elm StHigh Point, NC 27262-4332Phone: (336) 889-8877Fax: (336) 889-5250
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2020-10-25
- Certified
- 2020-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.