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Dr. Prasert Vijitbenjaronk, MD
Interventional Cardiology Physician in Lafayette, Indiana
NPI 1124002951

Prasert Vijitbenjaronk is a Interventional Cardiology Physician based in Detroit, IN and is specialized in Interventional Cardiology. Prasert Vijitbenjaronk practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Prasert Vijitbenjaronk is 1124002951 and holds a License No. 2004009714 (Indiana).

The current practice location address for Prasert Vijitbenjaronk is 3900 St Francis Way Ste 200, Lafayette, IN and can be reached out via phone at 765-775-2800 and via fax at 765-775-2831.

Location: 3900 St Francis Way Ste 200, Lafayette, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124002951
Provider Name
Prasert Vijitbenjaronk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3900 St Francis Way Ste 200, Lafayette, IN, 48278-1076
Phone Number
765-775-2800
Fax Number
765-775-2831
Provider Enumeration Date
12/05/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
653949 01 MO HEALTHLINK
155765001 05 AR
126814 01 BCBS
P00244271 01 RAILROAD MEDICARE
207663907 05 MO
250766 01 HEALTHLINK
190900 01 MO BLUE CROSS BLUE CHOICE
155783001 05 AR
190900 01 BCBS
institution
Provider Business Practice Location Address Details
Address
3900 St Francis Way Ste 200
City
Lafayette
State
Indiana
Zip
47905-4940
Phone Number
765-775-2800
Fax Number
765-775-2831
person
Provider Business Mailing Address Details
Address
3900 St Francis Way Ste 200
City
Lafayette
State
Indiana
Zip
47905-4940
Phone Number
765-775-2800
Fax Number
765-775-2831
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01090864A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
2004009714 (Missouri)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
2004009714 (Missouri)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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