IndividualActive
Chanhsamone Syravanh, PA
NPI 1376922799 · Medical Physician Assistant · Newark, DE
Provider details
- NPI number
- 1376922799
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- C5-0000559 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4745 Ogletown Stanton Rd
Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology
Newark, DE 19713-2067
Phone: (302) 292-3541
Fax: (302) 292-3542
Approximate (ZIP-level) locationGet directions
Mailing address
4745 Ogletown Stanton Rd
Newark, DE 19713-2067
Registry dates
- Enumerated
- 2015-05-19
- Last updated
- 2015-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.