Boonswang, Narongsak Guevara
Boonswang, Narongsak Guevara is an individual health care provider with primary practice located at 2380 Harbor Blvd , Port Charlotte FL 33952-5024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Boonswang, Narongsak Guevara can be contacted via phone (941) 206-0325.Contact Information
Primary practice address
2380 Harbor Blvd
Port Charlotte FL 33952-5024
Phone: (941) 206-0325
Fax: (941) 766-0423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME130413 | Florida |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD418882 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 54194 | Colorado |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 77362 | Montana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35-126473 | Ohio |
Profile Details
| NPI number | 1821015652 |
|---|---|
| LBN Legal business name | Boonswang, Narongsak Guevara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 10th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821015652 | NPPES |
| Pennsylvania | Other | 522325498 | TAX ID |
| Pennsylvania | MEDICAID | 94373779 | TAX ID |
| Pennsylvania | Other | 1885635 | TAX ID |
| Pennsylvania | MEDICAID | 1016990120001 | TAX ID |
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