Keobounnam, Manivanh
Keobounnam, Manivanh is an individual health care provider with primary practice located at 4755 Ogletown-Stanton Road , Newark DE 19718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Keobounnam, Manivanh can be contacted via phone (302) 733-1000.Contact Information
Primary practice address
4755 Ogletown-Stanton Road
Newark DE 19718
Phone: (302) 733-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MT185941 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C1-0009086 | Delaware |
Profile Details
| NPI number | 1295897783 |
|---|---|
| LBN Legal business name | Keobounnam, Manivanh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | May 10th, 2016 - about 9 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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