NIPONTH VICHUGSANANON

Address: 3032 Tulare St, Fresno, CA 93721-1415

NIPONTH VICHUGSANANON (NPI# 1083753438, PAC ID# 5597929521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1083753438
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 5597929521
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20120604000236
Last Name VICHUGSANANON
First Name NIPONTH
Gender M
Address 3032 Tulare St
Fresno
CA 93721-1415
Phone Number 5592331193
Graduation Year 1966
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment

Office Location

Street Address 3032 TULARE ST
City FRESNO
State CA
Zip Code 93721-1415

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Kaushik Tiwary Internal Medicine Community Foundation Medical Group 2823 Fresno St, Fresno, CA 93721-1324
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Find all in zip 93721

Competitor

Search similar physicians

City FRESNO
Zip Code 93721
Specialty GENERAL PRACTICE
City + Specialty FRESNO + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.