Lohavanichbutr, Kamol

Lohavanichbutr, Kamol is an individual health care provider with primary practice located at 307 S 13Th St Suite 300, Mount Vernon WA 98274-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Lohavanichbutr, Kamol can be contacted via phone (360) 336-9757.

Contact Information

Primary practice address
307 S 13Th St Suite 300 Mount Vernon WA 98274-4100
Phone: (360) 336-9757
Fax: (360) 814-5237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD00036595 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00036595 Washington

Profile Details

NPI number 1306880638
LBN Legal business name Lohavanichbutr, Kamol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 12th, 2016 - about 8 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 1306880638 NPPES
Washington MEDICAID 8417024

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