Sarasombath, Ongkarn
Sarasombath, Ongkarn is an individual health care provider with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Sarasombath, Ongkarn can be contacted via phone (479) 274-2000.Contact Information
Primary practice address
6801 Rogers Ave
Fort Smith AR 72903-4067
Phone: (479) 274-2000
Fax: (479) 274-2194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 2012037438 | Missouri |
Profile Details
NPI number | 1043400104 |
---|---|
LBN Legal business name | Sarasombath, Ongkarn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2007 |
Last updated | Sep 1st, 2015 - about 10 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 | 1043400104 | NPPES |
Arkansas | Other | E8112 | MEDICAL LICENSE |
Arkansas | MEDICAID | 200502490A | MEDICAL LICENSE |
Arkansas | MEDICAID | 201021001 | MEDICAL LICENSE |
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