Individual
DR. CHANWIT ROONGSRITONG
Active
Individual
DR. CHANWIT ROONGSRITONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12355
NV
207RC0000X
Cardiovascular Disease Physician
J0232
TX
207RI0011X
Interventional Cardiology Physician
Primary
12355
NV
207RI0011X
Interventional Cardiology Physician
J0232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518956804
—
NV
01
—
NV1939
BLUE CROSS BLUE SHIELD
NV
Enumeration date
10/19/2005
Last updated
05/12/2021
Update your record
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