Terayanont, Taveepong

Terayanont, Taveepong is an individual health care provider with primary practice located at 3700 Washington Ave , Evansville IN 47714-0541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Terayanont, Taveepong can be contacted via phone (812) 485-4994.

Contact Information

Primary practice address
3700 Washington Ave Evansville IN 47714-0541
Phone: (812) 485-4994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01056221A Indiana

Profile Details

NPI number 1427087188
LBN Legal business name Terayanont, Taveepong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 22nd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427087188 NPPES
Indiana Other 000000326790 ANTHEN PIN#
Indiana MEDICAID 100180890B ANTHEN PIN#
Indiana MEDICAID 200474390 ANTHEN PIN#

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