Lohavanichbutr, Kamol
Lohavanichbutr, Kamol is an individual health care provider with primary practice located at 307 S 13Th St Suite 300, Mount Vernon WA 98274-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Lohavanichbutr, Kamol can be contacted via phone (360) 336-9757.Contact Information
Primary practice address
307 S 13Th St Suite 300
Mount Vernon WA 98274-4100
Phone: (360) 336-9757
Fax: (360) 814-5237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD00036595 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00036595 | Washington |
Profile Details
| NPI number | 1306880638 |
|---|---|
| LBN Legal business name | Lohavanichbutr, Kamol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 12th, 2016 - about 10 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 | 1306880638 | NPPES |
| Washington | MEDICAID | 8417024 |
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