Individual provider · Type 1 NPI

Anantachote Vimuktanandana, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1003074451 Active

Practice location

755 W Walnut St Apt D
Indianapolis, IN 46202-3179

Call (317) 979-8409 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11013134A (IN)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1003074451

Anantachote Vimuktanandana, MD's National Provider Identifier is 1003074451, issued on May 31, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 31, 2008.