National Provider Identifier
Darani Ashley Thammavongsa
Darani Ashley Thammavongsa is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (860) 371-9906.
Profile Overview
- NPI
- 1376411876
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 27, 2025
- Last Updated
- October 27, 2025
Practice Location
- 104 Fair St
- Ithaca, NY 14850-5313
Phone: (860) 371-9906
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1376411876
- Entity Type
- Individual
- Last Name
- Thammavongsa
- First Name
- Darani
- Middle Name
- Ashley
- Mailing Street Address
- 104 Fair St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5313
- Mailing Country
- US
- Mailing Phone
- (860) 371-9906
- Practice Street Address
- 104 Fair St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5313
- Practice Country
- US
- Practice Phone
- (860) 371-9906
- Enumeration Date
- October 27, 2025
- Last Updated
- October 27, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)