Navaravong, Leenhapong
Navaravong, Leenhapong is an individual health care provider with primary practice located at 395 W Cougar Blvd , Provo UT 84604-3311. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Navaravong, Leenhapong can be contacted via phone (435) 357-4600.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8237582-1205 | Utah |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 8237582-1205 | Utah |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD-42118 | Iowa |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 42118 | Iowa |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 8237582-1205 | Utah |
Profile Details
NPI number | 1396937363 |
---|---|
LBN Legal business name | Navaravong, Leenhapong |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2007 |
Last updated | Jun 21st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396937363 | NPPES |
Iowa | MEDICAID | 1396937363 | |
Iowa | Other | P01437247 |
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