Vichit Vanadurongvan in Wilmot - General Practice

Vichit Vanadurongvan - NPI 1649234428

Vichit Vanadurongvan is a General Practice in Wilmot, South Dakota. Vichit Vanadurongvan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vichit Vanadurongvan is 1649234428. The last update date is 2023-03-07.

Vichit Vanadurongvan's current location address is 13516 Sodak Rd, Wilmot, South Dakota. You can contact this provider via phone number 6059384574. The mailing address for Vichit Vanadurongvan is 13516 Sodak Rd, Wilmot, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Vichit Vanadurongvan
Address 13516 Sodak Rd, Wilmot, South Dakota
Phone Number 6059384574
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649234428
Provider Enumeration Date 2006-04-17
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 13516 Sodak Rd
City Wilmot
State South Dakota (SD)
Post Code 572798211
Phone Number 6059384574
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 2310
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7300224 SD --
629363800 MN --

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FAQs about Vichit Vanadurongvan

What is the unique 10-digit identifier code issued to Vichit Vanadurongvan by the Centers for Medicare & Medicaid Services?

The Vichit Vanadurongvan has been assigned the NPI (National Provider Identifier) 1649234428 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Vichit Vanadurongvan's facilities are situated?

The facilities of Vichit Vanadurongvan are physically located at the following address: 13516 Sodak Rd, Wilmot, SD, 572798211.

What is the area of specialization for Vichit Vanadurongvan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Vichit Vanadurongvan is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649234428 to Vichit Vanadurongvan?

The Centers for Medicare & Medicaid Services originally issued the 1649234428 to Vichit Vanadurongvan on 2006-04-17.

As of what date was the information regarding Vichit Vanadurongvan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vichit Vanadurongvan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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