Thavij David Burapavong in High Point - Specialist

Thavij David Burapavong - NPI 1922063023

Thavij David Burapavong is a Specialist in High Point, North Carolina. Thavij David Burapavong practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thavij David Burapavong is 1922063023. The last update date is 2011-06-30.

Thavij David Burapavong's current location address is 416 Gatewood Ave, High Point, North Carolina. You can contact this provider via phone number 3368822531 and fax number 3368848254. The mailing address for Thavij David Burapavong is 416 Gatewood Ave, High Point, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thavij David Burapavong
Address 416 Gatewood Ave, High Point, North Carolina
Phone Number 3368822531
Fax Number 3368848254
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1922063023
Provider Enumeration Date 2006-04-20
Last Updated Date 2011-06-30

Provider Mailing Address Detail

Address 416 Gatewood Ave
City High Point
State North Carolina (NC)
Post Code 272624718
Phone Number 3368822531
Fax Number 3368848254

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7194 NC BLUE CROSS BLUE SHIELD
1310041 NC UNITED HEALTHCARE
7901794 NC --
5987957-001 NC CIGNA HEALTHCARE

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FAQs about Thavij David Burapavong

What is the Thavij David Burapavong's 1922063023?

The Thavij David Burapavong's NPI (National Provider Identifier) Number is 1922063023. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Thavij David Burapavong?

The Thavij David Burapavong is physically situated at 416 Gatewood Ave, in the city of High Point, state of NC, with the postal code 272624718.

What is the area of specialization for Thavij David Burapavong, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thavij David Burapavong is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922063023 to Thavij David Burapavong?

The Thavij David Burapavong received its 1922063023 assignment from the Centers for Medicare & Medicaid Services on 2006-04-20.

As of what date were the Thavij David Burapavong's details last updated?

The information pertaining to the Thavij David Burapavong, including its address, specialty, and other details, was most recently updated on 2011-06-30.

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