Lisawat, Panupong

Lisawat, Panupong is an sole proprietor health care provider with primary practice located at 111 Osborne St Suite 210, Danbury CT 06810-6000. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Lisawat, Panupong can be contacted via phone (203) 739-7104.

Contact Information

Primary practice address
111 Osborne St Suite 210 Danbury CT 06810-6000
Phone: (203) 739-7104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 051569 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 051569 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 051569 Connecticut

Profile Details

NPI number 1922254184
LBN Legal business name Lisawat, Panupong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2008
Last updated Dec 4th, 2013 - about 12 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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