Banchuin, Thongdang

Banchuin, Thongdang is an individual health care provider with primary practice located at 280 Virginia Ave Ne Suite 102, Norton VA 24273-1538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Banchuin, Thongdang can be contacted via phone (276) 679-0818.

Contact Information

Primary practice address
280 Virginia Ave Ne Suite 102 Norton VA 24273-1538
Fax: (276) 679-0817
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101029458 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101029458 Virginia

Profile Details

NPI number 1447357694
LBN Legal business name Banchuin, Thongdang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447357694 NPPES
Virginia MEDICAID 010041660

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