Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Anawin Sanguankeo, MD

Individual provider Internal Medicine Physician · NPI 1043637580

Mr. Anawin Sanguankeo, MD is a Nephrology in Longview, Washington. Qualified in 2019, 7 years ago. Practices with Peacehealth, a 187-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Washington.

Years since qualifying
7
Licensed in
IL, WA
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-2730
Fax: (360) 414-2739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4101 N Water Tower Pl, Mount Vernon, IL 62864 — (618) 244-4313
  • 4101 N Water Tower Pl, Mount Vernon, IL 62864 — (618) 244-4313
  • 1830 E Monument St Fl 4, Baltimore, MD 21287-0020 — (410) 955-5268

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD61239740 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036147020 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD61239740 (WA)
Nephrology Physician Taxonomy 207RN0300X · Licence 036147020 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043637580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2014
Last updated in NPPESJuly 21, 2022
Certification dateMay 28, 2022
Mailing address4101 N Water Tower Pl, Mount Vernon, IL 62864-6296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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