Dr Chamnahn Kongtahworn, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Clive, Iowa. Dr Chamnahn Kongtahworn is licensed to practice in Iowa (license number 20052) and his current practice location is 12950 Woodlands Pkwy, Clive, Iowa. He can be reached at his office (for appointments etc.) via phone at
(515) 225-2369.
NPI number for Dr Chamnahn Kongtahworn is 1982973970 and his current mailing address is 12950 Woodlands Pkwy, Clive, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982973970.
Physician's Profile
| Full Name | Dr Chamnahn Kongtahworn |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 12950 Woodlands Pkwy, Clive, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982973970
- Provider Enumeration Date: 12/20/2011
- Last Update Date: 12/20/2011
Medical Identifiers
Medical identifiers for Dr Chamnahn Kongtahworn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982973970 | NPI | - | NPPES |
| 20052 | Other | IA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 20052 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chamnahn Kongtahworn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Chamnahn Kongtahworn, MD
12950 Woodlands Pkwy,
Clive, IA 50325-8748
Ph: (515) 225-2369 | Dr Chamnahn Kongtahworn, MD
12950 Woodlands Pkwy,
Clive, IA 50325-8748
Ph: (515) 225-2369 |
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