Individual
DR. JOHN ANANDA VANAALST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10200 FOREST GREEN BLVD STE 112, LOUISVILLE, KY 40223-5167
(954) 399-4673
(513) 636-7182
Mailing address
12667 GREEN RD, WALTON, KY 41094-8731
(919) 818-3377
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
35.069810
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
50102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111752
—
OH
05
—
7100358000
—
KY
Enumeration date
10/05/2006
Last updated
10/25/2023
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