Sukavachana, Orawan
Sukavachana, Orawan is an sole proprietor health care provider with primary practice located at 18182 Us Highway 18 Ste 102 , Apple Valley CA 92307-2200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sukavachana, Orawan can be contacted via phone (224) 622-5724.Contact Information
Primary practice address
18182 Us Highway 18 Ste 102
Apple Valley CA 92307-2200
Phone: (224) 622-5724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-085859 | Illinois |
Profile Details
| NPI number | 1841332442 |
|---|---|
| LBN Legal business name | Sukavachana, Orawan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Aug 15th, 2024 - about 2 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 | 1841332442 | NPPES |
| California | Other | C168890 | MEDICAL LICENSE |
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