Sunan Vongkasemsiri, MD is a
Radiology - Diagnostic Radiology physician based in Tazewell, Tennessee. Sunan Vongkasemsiri is licensed to practice in Tennessee (license number MD0000014904) and his current practice location is 1850 Old Knoxville Rd, Tazewell, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(426) 626-4211.
NPI number for Sunan Vongkasemsiri is 1275578387 and his current mailing address is Po Box 596, Tazewell, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275578387.
Physician's Profile
| Full Name | Sunan Vongkasemsiri |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1850 Old Knoxville Rd, Tazewell, Tennessee |
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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: 1275578387
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sunan Vongkasemsiri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275578387 | NPI | - | NPPES |
| 3036248 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD0000014904 (Tennessee) | 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. Sunan Vongkasemsiri 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 |
|---|
Sunan Vongkasemsiri, MD
Po Box 596,
Tazewell, TN 37879-0596
Ph: (606) 248-1320 | Sunan Vongkasemsiri, MD
1850 Old Knoxville Rd,
Tazewell, TN 37879-3625
Ph: (426) 626-4211 |
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