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Individual
MR. LEENHAPONG NAVARAVONG
Active
Individual
MR. LEENHAPONG NAVARAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8237582-1205
UT
207RC0000X
Cardiovascular Disease Physician
8237582-1205
UT
207RC0000X
Cardiovascular Disease Physician
MD-42118
IA
207RC0001X
Clinical Cardiac Electrophysiology Physician
42118
IA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
8237582-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396937363
—
IA
01
—
P01437247
RR MEDICARE
IA
Enumeration date
08/14/2007
Last updated
06/21/2023
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