Somprak Boonpongmanee in Kennewick - Gastroenterology

Somprak Boonpongmanee - NPI 1528139359

Somprak Boonpongmanee is a Gastroenterology in Kennewick, Washington. Somprak Boonpongmanee practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Somprak Boonpongmanee is 1528139359. The last update date is 2015-06-05.

Somprak Boonpongmanee's current location address is 8819 W. Victoria Ave, Kennewick, Washington. You can contact this provider via phone number 5094605500 and fax number 5094605111. The mailing address for Somprak Boonpongmanee is 8819 W. Victoria Ave, Kennewick, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Somprak Boonpongmanee
Address 8819 W. Victoria Ave, Kennewick, Washington
Phone Number 5094605500
Fax Number 5094605111
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1528139359
Provider Enumeration Date 2006-11-13
Last Updated Date 2015-06-05

Provider Mailing Address Detail

Address 8819 W. Victoria Ave
City Kennewick
State Washington (WA)
Post Code 99336
Phone Number 5094605500
Fax Number 5094605111

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No MD00042206
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8354037 WA --
207386 WA LABOR AND INDUSTRIES
P00289575 RR MEDICARE

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FAQs about Somprak Boonpongmanee

What is the unique identification code assigned to Somprak Boonpongmanee by the Centers for Medicare & Medicaid Services?

The Somprak Boonpongmanee has been issued the NPI (National Provider Identifier) 1528139359. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Somprak Boonpongmanee?

The Somprak Boonpongmanee is situated at 8819 W. Victoria Ave, in the city of Kennewick, state of WA, with the zip code 99336.

What is Somprak Boonpongmanee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Somprak Boonpongmanee is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1528139359 to Somprak Boonpongmanee?

The Somprak Boonpongmanee received its 1528139359 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.

When was the information regarding Somprak Boonpongmanee most recently updated?

The details pertaining to the Somprak Boonpongmanee, including its address, specialty, and other relevant information, were last refreshed on 2015-06-05.

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