Individual
SISAVATH DOUANGSAVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN243970
MA
367500000X
Certified Registered Nurse Anesthetist
RN38566
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110125025A
—
MA
Enumeration date
02/06/2014
Last updated
12/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us