person
Anantachote Vimuktanandana, MD
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1003074451

Anantachote Vimuktanandana is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Anantachote Vimuktanandana practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Anantachote Vimuktanandana is 1003074451 and holds a License No. 11013134A (Indiana).

The current practice location address for Anantachote Vimuktanandana is 755 W Walnut St Apt D, Indianapolis, IN and can be reached out via phone at 317-979-8409.

Location: 755 W Walnut St Apt D, Indianapolis, IN, 46202-3179
person
Provider Profile Details
NPI Number
1003074451
Provider Name
Anantachote Vimuktanandana
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
755 W Walnut St Apt D, Indianapolis, IN, 46202-3179
Phone Number
317-979-8409
Fax Number
Provider Enumeration Date
05/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
755 W Walnut St Apt D
City
State
Zip
46202-3179
Phone Number
317-979-8409
Fax Number
person
Provider Business Mailing Address Details
Address
755 W Walnut St Apt D
City
State
Zip
46202-3179
Phone Number
317-979-8409
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
11013134A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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