Phanijphand, Twan

Phanijphand, Twan is an individual health care provider with primary practice located at 1326 Lewis Turner Blvd , Fort Walton Beach FL 32547-1139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Phanijphand, Twan can be contacted via phone (850) 601-8177.

Contact Information

Primary practice address
1326 Lewis Turner Blvd Fort Walton Beach FL 32547-1139
Phone: (850) 601-8177
Fax: (850) 862-0605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS16137 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 5101015350 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2010014123 Missouri

Profile Details

NPI number 1790806248
LBN Legal business name Phanijphand, Twan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 22nd, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790806248 NPPES
Missouri Other 156440050 MEDICARE PTAN #

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