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Individual

DR. KRAIYUTH VONGXAIBURANA

Active
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Individual

DR. KRAIYUTH VONGXAIBURANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME92316
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
ME92316
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065312
AETNA
FL
01
1447267000
PHYSICIANS UNITED PLAN
FL
01
1487660247
MD MEDICARE CHOICE
FL
01
15484901
CITRUS
FL
01
2615237
UNITED HEALTH CARE
FL
05
273660800
FL
01
29630
COMP OPTIONS
FL
01
304355
AVMED
01
593661648
UNIVERSAL HEALTH CARE
FL
01
P00438736
MEDICARE RAILROAD
FL
01
P05944
FREEDOM HEALTH
FL
Enumeration date
08/03/2006
Last updated
07/30/2012
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