Phornphan Moltane Homiak in Burke - Physician Assistant
Phornphan Moltane Homiak - NPI 1942488374
Phornphan Moltane Homiak is a Physician Assistant in Burke, Virginia. Phornphan Moltane Homiak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phornphan Moltane Homiak is 1942488374. The last update date is 2014-11-18.
Phornphan Moltane Homiak's current location address is 6035 Burke Centre Pkwy, Burke, Virginia. You can contact this provider via phone number 7034256010 and fax number 7034257504. The mailing address for Phornphan Moltane Homiak is 6035 Burke Centre Pkwy, Burke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phornphan Moltane Homiak |
|---|---|
| Address | 6035 Burke Centre Pkwy, Burke, Virginia |
| Phone Number | 7034256010 |
| Fax Number | 7034257504 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1942488374 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2014-11-18 |
Provider Mailing Address Detail
| Address | 6035 Burke Centre Pkwy |
|---|---|
| City | Burke |
| State | Virginia (VA) |
| Post Code | 220153750 |
| Phone Number | 7034256010 |
| Fax Number | 7034257504 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103810 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Phornphan Moltane Homiak by the Centers for Medicare & Medicaid Services?
The Phornphan Moltane Homiak has been assigned the NPI (National Provider Identifier) 1942488374 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Phornphan Moltane Homiak is located?
The Phornphan Moltane Homiak is situated at the following address: 6035 Burke Centre Pkwy, Burke, VA, 220153750.
What is Phornphan Moltane Homiak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phornphan Moltane Homiak is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942488374 to Phornphan Moltane Homiak?
The Centers for Medicare & Medicaid Services assigned the 1942488374 to Phornphan Moltane Homiak on 2008-02-07.
When was the information regarding Phornphan Moltane Homiak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Phornphan Moltane Homiak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-11-18.
NPI Number: 1215930425
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