Phathsady Louangxay in Providence - Medical
Phathsady Louangxay - NPI 1174586671
Phathsady Louangxay is a Medical in Providence, Rhode Island. Phathsady Louangxay practices all healthcare services and medical treatments related to Medical. The NPI Number for Phathsady Louangxay is 1174586671. The last update date is 2021-02-18.
Phathsady Louangxay's current location address is 164 Summit Ave # C70, Providence, Rhode Island. You can contact this provider via phone number 4017934545 and fax number 4017937866. The mailing address for Phathsady Louangxay is 164 Summit Ave # C70, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phathsady Louangxay |
|---|---|
| Address | 164 Summit Ave # C70, Providence, Rhode Island |
| Phone Number | 4017934545 |
| Fax Number | 4017937866 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1174586671 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 164 Summit Ave # C70 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29062853 |
| Phone Number | 4017934545 |
| Fax Number | 4017937866 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 356 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1396864542 | RI | NPI KENT HOSPITAL PBO | |
| 9004070 | RI | -- |
Post Comment/ Review Below
What is the Phathsady Louangxay's unique identification number?
The Phathsady Louangxay has been assigned the NPI (National Provider Identifier) Number 1174586671 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Phathsady Louangxay located?
The Phathsady Louangxay is located at 164 Summit Ave # C70, Providence, RI 29062853.
What is Phathsady Louangxay's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phathsady Louangxay's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174586671 to Phathsady Louangxay?
The Centers for Medicare & Medicaid Services assigned the 1174586671 to Phathsady Louangxay on 2006-04-07.
As of what date was the information pertaining to Phathsady Louangxay, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Phathsady Louangxay, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-18.
NPI Number: 1245234582
Address: 110 W American Canyon Rd, American Canyon, CA
NPI Number: 1104821818
Address: 1000 Carondelet Dr Ste 100, Kansas City, MO