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Individual
ROULAY THAMMAVONG
Active
Individual
ROULAY THAMMAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237174
NY
207R00000X
Internal Medicine Physician
Primary
35.093551
OH
207R00000X
Internal Medicine Physician
MD431273
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2799959
—
OH
Enumeration date
01/05/2007
Last updated
06/30/2026
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