Individual
PAUL KASEMPHANTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
2041 GEORGIA AVE NW # 1, WASHINGTON, DC 20060-0001
(202) 865-1141
Mailing address
257 AMBERLEIGH DR, SILVER SPRING, MD 20905-5992
(301) 642-2101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06509
MD
363A00000X
Physician Assistant
Primary
PA031363
DC
Other
Enumeration date
03/17/2017
Last updated
08/06/2025
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