PHONPHANH DEDTHANOU DO
NPI 1447909346
Psychiatry & Neurology - Neurology in Morgantown, WV

Active since March 20, 2022
1 MEDICAL CENTER DR, 1310 HSC, MORGANTOWN, WV 26506(304) 293-2342(304) 293-7725 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phonphanh Dedthanou Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHONPHANH DEDTHANOU DO (NPI 1447909346) is an individual neurology provider in Morgantown, West Virginia, licensed in Montana (MED-PHYS-LIC-173223) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1447909346
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePHONPHANH DEDTHANOUCredential: DO
Location Address1 MEDICAL CENTER DR, 1310 HSCMorgantown, WV 26506
Mailing Address130 Red Mulberry Way Apt 2Charleston, WV 25306-6317 · (515) 779-4571
Fax(304) 293-7725
Sole ProprietorNo
Enumeration DateMarch 20, 2022
Last NPPES UpdateJune 4, 2026
NPPES CertifiedJune 4, 2026
NPI 1447909346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MT · MED-PHYS-LIC-173223
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1 MEDICAL CENTER DR, Morgantown, WV 26506

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phonphanh Dedthanou's NPI number?

The NPI number for Phonphanh Dedthanou is 1447909346. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Phonphanh Dedthanou located?

Phonphanh Dedthanou practices at 1 Medical Center Dr 1310 Hsc, Morgantown, WV 26506. The listed phone number is (304) 293-2342.

What is Phonphanh Dedthanou's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Phonphanh Dedthanou was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.