Individual
DR. VANNARA SAKBUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
611 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
(812) 478-9845
(812) 478-2074
Mailing address
611 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
(812) 478-9845
(812) 478-2074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01043923A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200041000
—
IN
01
—
P00285687
RAILROAD MEDICARE
IN
Enumeration date
02/14/2006
Last updated
05/21/2012
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