Vichit Vanadurongvan, MD is a
General Practice physician based in Milbank, South Dakota. Vichit Vanadurongvan is licensed to practice in South Dakota (license number 2310) and his current practice location is 803 E Milbank Ave, Milbank, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 432-4587.
NPI number for Vichit Vanadurongvan is 1649234428 and his current mailing address is 13516 Sodak Rd, Wilmot, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649234428.
Physician's Profile
| Full Name | Vichit Vanadurongvan |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 803 E Milbank Ave, Milbank, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649234428
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Vichit Vanadurongvan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649234428 | NPI | - | NPPES |
| 7300224 | Medicaid | SD | |
| 629363800 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 2310 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vichit Vanadurongvan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vichit Vanadurongvan, MD
13516 Sodak Rd,
Wilmot, SD 57279-8211
Ph: (605) 938-4574 | Vichit Vanadurongvan, MD
803 E Milbank Ave,
Milbank, SD 57252-1413
Ph: (605) 432-4587 |
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