Rajapho, Virasith
Rajapho, Virasith is an sole proprietor health care provider with primary practice located at 311 Bluebonnet Dr , Lafayette LA 70508-5412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rajapho, Virasith can be contacted via phone (337) 781-7627.Contact Information
Primary practice address
311 Bluebonnet Dr
Lafayette LA 70508-5412
Phone: (337) 781-7627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 203878 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.203878 | Louisiana |
Profile Details
| NPI number | 1497951446 |
|---|---|
| LBN Legal business name | Rajapho, Virasith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2007 |
| Last updated | May 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497951446 | NPPES |
| Louisiana | MEDICAID | 1006793 |
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