Individual
SOKVANNARA ALEXANDER CHHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004814A
IN
363AM0700X
Medical Physician Assistant
10004814A
IN
Other
Enumeration date
01/14/2025
Last updated
07/24/2025
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