Terayanont, Taveepong
Terayanont, Taveepong is an individual health care provider with primary practice located at 3700 Washington Ave , Evansville IN 47714-0541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Terayanont, Taveepong can be contacted via phone (812) 485-4994.Contact Information
Primary practice address
3700 Washington Ave
Evansville IN 47714-0541
Phone: (812) 485-4994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 01056221A | Indiana |
Profile Details
| NPI number | 1427087188 |
|---|---|
| LBN Legal business name | Terayanont, Taveepong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jul 22nd, 2022 - about 2 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 | 1427087188 | NPPES |
| Indiana | Other | 000000326790 | ANTHEN PIN# |
| Indiana | MEDICAID | 100180890B | ANTHEN PIN# |
| Indiana | MEDICAID | 200474390 | ANTHEN PIN# |
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