# VANNARA SAKBUN WOMEN'S CENTER

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

## Provider details

- **NPI number:** 1700052982
- **Authorized official:** DR. VANNARA SAKBUN M.D. (OWNER)
- **Authorized official phone:** (812) 478-9845

## Contact information

- **Practice address:** 611 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
- **Practice address phone:** (812) 478-9845
- **Practice address fax:** (812) 478-2074
- **Mailing address:** 611 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
- **Mailing address phone:** (812) 478-9845
- **Mailing address fax:** (812) 478-2074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01043923A | IN | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 10/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000572988 | BLUE CROSS BLUE SHIELD | IN |
| 05 | — | 200906620 | — | IN |