Individual
KAMONPUN USSAVARUNGSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4419
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-44154
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD-44154
IA
207RP1001X
Pulmonary Disease Physician
MD-44154
IA
207RP1001X
Pulmonary Disease Physician
ME112901
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0034029
TX
Other
Enumeration date
07/20/2009
Last updated
03/17/2018
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