Mr. Anawin Sanguankeo
Internist Nephrologist
4101 N Water Tower Pl
Mount Vernon
, Illinois 62864
Mr. Anawin Sanguankeo
Internist Nephrologist
4101 N Water Tower Pl
Mount Vernon
, Illinois 62864
(410) 367-2258
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Mr. Anawin Sanguankeo
- 4101 N Water Tower Pl
- Mount Vernon, IL
- Zip : 62864-6296
- Fax : (410) 367-2258
- Phone : (618) 244-4313
Second Address
- Mr. Anawin Sanguankeo
- 4101 N Water Tower Pl
- Mount Vernon, IL
- Zip : 62864
- Fax : (618) 244-5348
- Phone : (618) 244-4313
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036147020 | IL |
| N | 111NI0900X | Internist | 036147020 | IL |
| Y | 207RN0300X | Nephrologist | 036147020 | IL |
National Provider Identifier
| NPI | 1043637580 |
|---|---|
| Provider Name | Mr. Anawin Sanguankeo |
| First Address | Mount Vernon, IL 62864-6296 |
| Second Address | Mount Vernon, IL 62864 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2014 |
| Last Update Date | 12/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.