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
Fax: (479) 274-2194
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043400104 NPPES
Arkansas Other E8112 MEDICAL LICENSE
Arkansas MEDICAID 200502490A MEDICAL LICENSE
Arkansas MEDICAID 201021001 MEDICAL LICENSE

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