Kheocha-On, Pornchanok Tam

Kheocha-On, Pornchanok Tam is an individual health care provider with primary practice located at 3800 Reservoir Rd Nw , Washington DC 20007-2113. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kheocha-On, Pornchanok Tam can be contacted via phone (202) 444-2000.

Contact Information

Primary practice address
3800 Reservoir Rd Nw Washington DC 20007-2113
Phone: (202) 444-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X NP1041368 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP1041368 District of Columbia

Profile Details

NPI number 1528770625
LBN Legal business name Kheocha-On, Pornchanok Tam
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2022
Last updated Feb 22nd, 2023 - about 3 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.

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