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Individual

VERAPAN VONGTHAVARAVAT

Active
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Individual

VERAPAN VONGTHAVARAVAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21093
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1017VA
REGENCE BLUE SHIELD
WA
05
213563
OR
01
5166925
PPNI
WA
01
5741926
FIRST HEALTH CCN COVENTRY
WA
01
7605381
AETNA
WA
05
8428732
WA
01
9395857
PCHS MULTIPLAN
WA
Enumeration date
03/08/2007
Last updated
07/11/2011
Update your record

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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