Tananchai A Lucktong in Roanoke - Surgery
Tananchai A Lucktong - NPI 1578526067
Tananchai A Lucktong is a Surgery in Roanoke, Virginia. Tananchai A Lucktong practices all healthcare services and medical treatments related to Surgery. The NPI Number for Tananchai A Lucktong is 1578526067. The last update date is 2011-08-12.
Tananchai A Lucktong's current location address is 3 Riverside Circle, Roanoke, Virginia. You can contact this provider via phone number 5402245170 and fax number 5409838212. The mailing address for Tananchai A Lucktong is 3 Riverside Circle, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tananchai A Lucktong |
|---|---|
| Address | 3 Riverside Circle, Roanoke, Virginia |
| Phone Number | 5402245170 |
| Fax Number | 5409838212 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578526067 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2011-08-12 |
Provider Mailing Address Detail
| Address | 3 Riverside Circle |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240164955 |
| Phone Number | 5402245170 |
| Fax Number | 5409838212 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 0101-232309 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7304480 | VA | -- | |
| 10039762 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tananchai A Lucktong by the Centers for Medicare & Medicaid Services?
The Tananchai A Lucktong has been assigned the NPI (National Provider Identifier) 1578526067 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tananchai A Lucktong?
The Tananchai A Lucktong is physically situated at 3 Riverside Circle, in the city of Roanoke, state of VA, with the postal code 240164955.
What is the Tananchai A Lucktong's specialty and taxonomy code?
The Tananchai A Lucktong's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did Tananchai A Lucktong receive its 1578526067 assignment from the Centers for Medicare & Medicaid Services?
The Tananchai A Lucktong was assigned its 1578526067 on 2006-04-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tananchai A Lucktong most recently updated or refreshed?
The details pertaining to the Tananchai A Lucktong, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-12.