Vanadurongvan, Vichit

Vanadurongvan, Vichit is an individual health care provider with primary practice located at 803 E Milbank Ave , Milbank SD 57252-1413. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vanadurongvan, Vichit can be contacted via phone (605) 432-4587.

Contact Information

Primary practice address
803 E Milbank Ave Milbank SD 57252-1413
Phone: (605) 432-4587
Fax: (605) 432-4580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2310 South Dakota

Profile Details

NPI number 1649234428
LBN Legal business name Vanadurongvan, Vichit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649234428 NPPES
South Dakota MEDICAID 7300224
South Dakota MEDICAID 629363800

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