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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922254184

Panupong Lisawat, MD is a Nephrology in Danbury, Connecticut. Qualified in 2005, 21 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
21
Licensed in
CT
In the registry since
2008
Specialties on file
4
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

111 Osborne St Ste 210
Danbury, CT 06810-6000
Phone: (203) 739-7104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 051569 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Hospitalist Physician Taxonomy 208M00000X · Licence 051569 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 051569 (CT)

Record details

NPI number1922254184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 7, 2008
Last updated in NPPESDecember 4, 2013

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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