Cheanvechai, Vasana
Cheanvechai, Vasana is an sole proprietor health care provider with primary practice located at 4800 Ne 20Th Ter Ste 109 , Fort Lauderdale FL 33308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Cheanvechai, Vasana can be contacted via phone (954) 338-3021.Contact Information
Primary practice address
4800 Ne 20Th Ter Ste 109
Fort Lauderdale FL 33308
Phone: (954) 338-3021
Fax: (954) 357-1427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME70243 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 11662 | Nevada |
Profile Details
| NPI number | 1124172622 |
|---|---|
| LBN Legal business name | Cheanvechai, Vasana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2019 - about 5 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 | 1124172622 | NPPES |
| Nevada | Other | CC1844 | ANTHEM BLUE C & BLUE S |
| Nevada | MEDICAID | 100508393 | ANTHEM BLUE C & BLUE S |
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