Fung, Saravut S

Fung, Saravut S is an individual health care provider with primary practice located at 211 S Chestnut St , Clarksburg WV 26301-2832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fung, Saravut S can be contacted via phone (304) 624-5212.

Contact Information

Primary practice address
211 S Chestnut St Clarksburg WV 26301-2832
Phone: (304) 624-5212
Fax: (304) 623-5812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 09963 West Virginia

Profile Details

NPI number 1093913840
LBN Legal business name Fung, Saravut S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Oct 5th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093913840 NPPES
West Virginia MEDICAID 0095455000
West Virginia Other 406181204

Popular Providers