Leenhapong Navaravong in Provo - Student In An Organized Health Care Education/training Program

Leenhapong Navaravong - NPI 1396937363

Leenhapong Navaravong is a Student In An Organized Health Care Education/training Program in Provo, Utah. Leenhapong Navaravong practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Leenhapong Navaravong is 1396937363. The last update date is 2023-06-21.

Leenhapong Navaravong's current location address is 395 W Cougar Blvd, Provo, Utah. You can contact this provider via phone number 4353574600. The mailing address for Leenhapong Navaravong is 395 W Cougar Blvd, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Leenhapong Navaravong
Address 395 W Cougar Blvd, Provo, Utah
Phone Number 4353574600
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1396937363
Provider Enumeration Date 2007-08-14
Last Updated Date 2023-06-21

Provider Mailing Address Detail

Address 395 W Cougar Blvd
City Provo
State Utah (UT)
Post Code 846043311
Phone Number 4353574600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1396937363 IA --
P01437247 IA RR MEDICARE

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FAQs about Leenhapong Navaravong

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

The Leenhapong Navaravong has been issued the NPI (National Provider Identifier) 1396937363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Leenhapong Navaravong's facilities are geographically located?

The facilities of Leenhapong Navaravong are physically situated at the following location: 395 W Cougar Blvd, Provo, UT, 846043311.

What is Leenhapong Navaravong's area of expertise and its corresponding taxonomy classification?

The Leenhapong Navaravong's field of specialization is Student In An Organized Health Care Education/training Program, and it falls under the taxonomy code 390200000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Leenhapong Navaravong receive its 1396937363 assignment from the Centers for Medicare & Medicaid Services?

The Leenhapong Navaravong was assigned its 1396937363 by the Centers for Medicare & Medicaid Services on 2007-08-14.

As of what date was the information regarding Leenhapong Navaravong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Leenhapong Navaravong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-21.

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