Provider Demographics
NPI:1154340057
Name:CHAIYACHATI, SUKIT (MD)
Entity type:Individual
Prefix:
First Name:SUKIT
Middle Name:
Last Name:CHAIYACHATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 HOSPITAL PKWY
Mailing Address - Street 2:EMORY JOHNS CREEK HOSPITAL - HOSPITAL MEDICINE DEPT
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5775
Mailing Address - Country:US
Mailing Address - Phone:404-778-6382
Mailing Address - Fax:404-778-5495
Practice Address - Street 1:6325 HOSPITAL PKWY
Practice Address - Street 2:EMORY JOHNS CREEK HOSPITAL - HOSPITAL MEDICINE DEPT
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-5775
Practice Address - Country:US
Practice Address - Phone:404-778-6382
Practice Address - Fax:404-778-5495
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041413207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG80072Medicare UPIN