Organization
VANNARA SAKBUN WOMEN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANNARA SAKBUN M.D. (OWNER)
(812) 478-9845
Entity
Organization
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
01
—
000000572988
BLUE CROSS BLUE SHIELD
IN
05
—
200906620
—
IN
Enumeration date
05/07/2008
Last updated
10/07/2008
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