# VIRACH ANANTACHAI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013011766
- **Authorized official:** VIRACH ANANTACHAI MD (PRESIDENT)
- **Authorized official phone:** (308) 745-0514

## Contact information

- **Practice address:** 130 N 6TH STREET, LOUP CITY, NE 68853-0527
- **Practice address phone:** (308) 745-0514
- **Mailing address:** PO BOX 527, 130 N 6TH STREET, LOUP CITY, NE 68853-0527
- **Mailing address phone:** (308) 745-0514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13217 | NE | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 04/20/2008