All Medicaid billing entities listing PHOTANGTHAM, PUNYADECH (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $1.12M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PRIDE MEDICAL, PLLC | NEW YORK, NY | Primary Care Clinic/Center | $1.12M |