Deena Vichugsananon
M.D. | Pediatrics | Female
Deena Vichugsananon, M.D. is a Mount Vernon, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Deena Vichugsananon is
2320 Freeway Dr, Pediatrics, Mount Vernon, Washington - 98273-5445. She can be contacted on phone at
360-814-6870 and fax number 360-814-6922.
Deena Vichugsananon is a sole proprietor of her business.
NPI number (Unique professional ID) for Deena Vichugsananon is
1558564617 which was assigned by NPPES on 07 Jun, 2007 and it was last updated on 21 Mar, 2017.
Deena Vichugsananon license number is
MD60366262 for Pediatrics (208000000X) in Washington.
Deena Vichugsananon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Deena Vichugsananon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Deena Vichugsananon |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Deena Vichugsananon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2320 Freeway Dr, Pediatrics
Mount Vernon, WA, 98273-5445
United States |
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| Phone Number : | 360-814-6870 |
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| Fax Number : | 360-814-6922 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558564617 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jun, 2007 |
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| Last Updated On : | 21 Mar, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deena Vichugsananon are as mentioned. Primary taxonomy code for Deena Vichugsananon, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD60366262 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Deena Vichugsananon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2028010 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1400 E Kincaid St, Attn: Credentialing
Mount Vernon, WA, 98274-4127
United States |
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| Phone Number : | 360-428-2500 |
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| Fax Number : | 360-428-6485 |
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Business Location:
Patients can refer following map for directions to
Deena Vichugsananon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.