Sangchompuphen, Tony

Sangchompuphen, Tony is an individual health care provider with primary practice located at 2045 N Franklin St , Denver CO 80205-5437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sangchompuphen, Tony can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2045 N Franklin St Denver CO 80205-5437
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35081743 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2006002250 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47326 Colorado

Profile Details

NPI number 1104826916
LBN Legal business name Sangchompuphen, Tony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 20th, 2021 - about 3 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 1104826916 NPPES
Ohio MEDICAID 2401056
Ohio MEDICAID 64063977
Ohio MEDICAID 26457733
Ohio Other 019469
Ohio Other 300136030
Ohio Other P00202433

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