PORNCHANOK TAM KHEOCHA-ON NP NPI 1528770625

NPI Information

NPI: 1528770625
Provider Name: PORNCHANOK TAM KHEOCHA-ON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3800 RESERVOIR RD NW
WASHINGTON, DC
ZIP 20007
Phone: (202) 444-2000
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Pornchanok Tam Kheocha-on, NP is a family nurse practitioner in Washington, DC with 2 years of experience. Pornchanok Tam Kheocha-on, NP NPI is 1528770625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3800 RESERVOIR RD NW
WASHINGTON, DC
ZIP 20007-113
Phone: (202) 444-2000

The NPI 1528770625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2022 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		NP1041368	DISTRICT OF COLUMBIA	No
2	363LF0000X	Nurse Practitioner	Family	NP1041368	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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