Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANHSAMONE SYRAVANH, PA
Active Sole ProprietorCHANHSAMONE SYRAVANH, PA is a Medical Physician Assistant healthcare provider located in NEWARK, Delaware. NPI 1376922799 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NEWARK, DE
Registration Details
- NPI Number
- 1376922799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2015 (11.245102773671 yrs)
- Last Updated
- May 19, 2015
- License
-
C5-0000559 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4745 OGLETOWN STANTON RDMEDICAL ARTS PAVILION 1, SUITE 135, HOSMANE CARDIOLOGYNEWARK, DE, 197132067Browse DE providers · Browse ZIP 19713
- Phone
- 3022923541
- Fax
- 3022923542
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in NEWARK, DE
| Name | Credential | NPI |
|---|---|---|
| MS. LAURIE STOKER | PA | 1932198660 |
| JILL HAMBURG | P.A. | 1750367488 |
| RONALD STEVEN DOHANISH | PAC | 1952362402 |
| LEIGH K PRESTON | PA-C | 1417979220 |
| SUSAN E MATARESE | PA C | 1114935152 |
| CAROL L PESEK | PA-C | 1851401277 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.