Fung, Saravut S
Fung, Saravut S is an individual health care provider with primary practice located at 211 S Chestnut St , Clarksburg WV 26301-2832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fung, Saravut S can be contacted via phone (304) 624-5212.Contact Information
Primary practice address
211 S Chestnut St
Clarksburg WV 26301-2832
Phone: (304) 624-5212
Fax: (304) 623-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 09963 | West Virginia |
Profile Details
| NPI number | 1093913840 |
|---|---|
| LBN Legal business name | Fung, Saravut S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Oct 5th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093913840 | NPPES |
| West Virginia | MEDICAID | 0095455000 | |
| West Virginia | Other | 406181204 |
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