| Mr Anawin Sanguankeo, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 414-2730 | |
| (360) 414-2739 |
| Full Name | Mr Anawin Sanguankeo |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 6 Years |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043637580 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Ocean Beach Hospital | Ilwaco, WA | Hospital |
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anawin Sanguankeo, MD 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 Ph: (618) 244-4313 | Mr Anawin Sanguankeo, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2730 |
Alexander Shar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 | |
Hugo Daniel Gonzalez, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 800-813-2000 | |
Lyudmila E Kruzhkov, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 | |
Dr. Sahar Taqui, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 | |
James J Nakashima, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714 | |
Gaurav Gandhi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768 |