Kongtahworn, Chamnahn

Kongtahworn, Chamnahn is an sole proprietor health care provider with primary practice located at 12950 Woodlands Pkwy , Clive IA 50325-8748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kongtahworn, Chamnahn can be contacted via phone (515) 225-2369.

Contact Information

Primary practice address
12950 Woodlands Pkwy Clive IA 50325-8748
Phone: (515) 225-2369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 20052 Iowa

Profile Details

NPI number 1982973970
LBN Legal business name Kongtahworn, Chamnahn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2011
Last updated Dec 20th, 2011 - about 14 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 1982973970 NPPES
Iowa Other 20052 MEDICAL LICENSE

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