Individual provider · Type 1 NPI

Chanhsamone Syravanh, PA

Medical Physician Assistant · Newark, DE

NPI number 1376922799 Active

Practice location

4745 Ogletown Stanton Rd, Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology
Newark, DE 19713-2067

Fax (302) 292-3542

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC5-0000559 (DE)

Medical Physician Assistant: Definition to come...

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About NPI 1376922799

Chanhsamone Syravanh, PA's National Provider Identifier is 1376922799, issued on May 19, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on May 19, 2015.