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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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