Phommachanh, Viengsouk

Phommachanh, Viengsouk is an individual health care provider with primary practice located at 2401 University Pkwy Ste 102 , Sarasota FL 34243-2894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Phommachanh, Viengsouk can be contacted via phone (941) 355-2767.

Contact Information

Primary practice address
2401 University Pkwy Ste 102 Sarasota FL 34243-2894
Phone: (941) 355-2767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME98812 Florida

Profile Details

NPI number 1235331141
LBN Legal business name Phommachanh, Viengsouk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2007
Last updated Oct 28th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235331141 NPPES
Florida MEDICAID 002451300
Florida Other DI326Z

Popular Providers