Bunya, Vathana O.
Bunya, Vathana O. is an sole proprietor health care provider with primary practice located at 2415 N 33Rd St , Philadelphia PA 19132-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Bunya, Vathana O. can be contacted via phone (215) 225-6222.Contact Information
Primary practice address
2415 N 33Rd St
Philadelphia PA 19132-2804
Phone: (215) 225-6222
Fax: (610) 668-3695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | MD035212L | Pennsylvania |
Profile Details
| NPI number | 1295821742 |
|---|---|
| LBN Legal business name | Bunya, Vathana O. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1295821742 | NPPES |
| Pennsylvania | MEDICAID | 0094630304 |
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