Boungkhong David Vansomphone in Las Vegas - Internal Medicine

Boungkhong David Vansomphone - NPI 1457451262

Boungkhong David Vansomphone is a Internal Medicine in Las Vegas, Nevada. Boungkhong David Vansomphone practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Boungkhong David Vansomphone is 1457451262. The last update date is 2010-12-23.

Boungkhong David Vansomphone's current location address is 5375 S Fort Apache Rd, Las Vegas, Nevada. You can contact this provider via phone number 7025971597. The mailing address for Boungkhong David Vansomphone is 5375 S Fort Apache Rd, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Boungkhong David Vansomphone
Address 5375 S Fort Apache Rd, Las Vegas, Nevada
Phone Number 7025971597
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1457451262
Provider Enumeration Date 2006-09-22
Last Updated Date 2010-12-23

Provider Mailing Address Detail

Address 5375 S Fort Apache Rd
City Las Vegas
State Nevada (NV)
Post Code 891487623
Phone Number 7025971597
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 9448
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2018399 NV --
12431 MT LIC
C53921 CA LIC
DR48601 CO LIC

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FAQs about Boungkhong David Vansomphone

What is the unique 10-digit identification code assigned to Boungkhong David Vansomphone by the Centers for Medicare & Medicaid Services?

The Boungkhong David Vansomphone has been issued the NPI (National Provider Identifier) 1457451262, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Boungkhong David Vansomphone is geographically located?

The Boungkhong David Vansomphone is physically situated at the following location: 5375 S Fort Apache Rd, Las Vegas, NV, 891487623.

What is Boungkhong David Vansomphone's specialized field of practice, and what is the corresponding taxonomy classification code?

The Boungkhong David Vansomphone's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457451262 to Boungkhong David Vansomphone?

The Centers for Medicare & Medicaid Services originally issued the 1457451262 to Boungkhong David Vansomphone on 2006-09-22.

As of what date were the details related to Boungkhong David Vansomphone most recently updated or revised?

The information pertaining to Boungkhong David Vansomphone, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-23.

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