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Individual

DR. VANPRASEUTH FONGNALY

Active
Find providers by NPI
Individual

DR. VANPRASEUTH FONGNALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2014025191
MO
207L00000X
Anesthesiology Physician
3724
WI
207L00000X
Anesthesiology Physician
Primary
CDRH.0068942
CO
207L00000X
Anesthesiology Physician
D0068983
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029695
KAISER COMMERCIAL NUMBER
CO
05
100257947
WI
05
9000206080
CO
Enumeration date
02/13/2007
Last updated
08/03/2026
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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