Panichabhongse, Sambhundh

Panichabhongse, Sambhundh is an individual health care provider with primary practice located at 222 S Kansas Rrh Physicians Clinic Ste B, Russell KS 67665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Panichabhongse, Sambhundh can be contacted via phone (785) 483-3333.

Contact Information

Primary practice address
222 S Kansas Rrh Physicians Clinic Ste B Russell KS 67665
Phone: (785) 483-3333
Fax: (785) 483-0781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16833 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16833 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-16833 Kansas

Profile Details

NPI number 1417943176
LBN Legal business name Panichabhongse, Sambhundh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 16th, 2010 - about 15 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 1417943176 NPPES
Kansas MEDICAID 100084810A

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