KANYA VANADURONGVAN (NPI# 1760446603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760446603 |
| Entity Type | Individual |
| Full Name | KANYA VANADURONGVAN |
| Credential | M.D. |
| Practice Address |
803 E Milbank Ave Milbank SD 57252-1413 |
| Mailing Address |
13516 Sodak Rd Wilmot SD 57279-8211 |
| Practice Telephone | 6054324587 |
| Practice Fax Number | 6054324580 |
| Mailing Telephone | 6059384574 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2408 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 299363500 | 05 | |
| DEA # | AV8069949 | 01 | |
| SD | 6700334 | 05 |
| Street Address |
803 E MILBANK AVE |
| City | MILBANK |
| State | SD |
| Zip Code | 57252-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701619 | Nanci J Vanpeursem | Family Medicine | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2005-06-27 |
| 1992158760 | Elizabeth Van Lith | Physician Assistant | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2016-07-18 |
| 1750488730 | Avera Mckennan | Clinic/Center | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2006-09-20 |
| 1649234428 | Vichit Vanadurongvan | General Practice | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2006-04-17 |
| 1770547598 | Kevin L Bjordahl | Family Medicine | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629319231 | Erin Elizabeth Kannegieter | Physical Therapy Assistant | 1103 South 2nd Street, Milbank, SD 57252 | 2013-03-06 |
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1063593275 | Mark A Bierschbach D.d.s., P.C. | Dentist | 1203 East 4th Ave., Suite 103, Milbank, SD 57252 | 2006-10-17 |
| 1336686500 | Wapiti Medical Group Limited Company | Internal Medicine | 107 Flynn Dr Ste 600, Milbank, SD 57252 | 2017-01-26 |
| 1083636773 | Alan David Bergquist | Chiropractor | 1203 E. 4th Ave. Suite 101, Milbank, SD 57252-0230 | 2006-07-24 |
| 1962620260 | Whetstone Valley Electric Cooperative | Technician, Other | 1101 E 4th Ave, Milbank, SD 57252-0512 | 2007-04-23 |
| 1639383383 | Wapiti Medical Corporation | Specialist | 603 S Dakota St, Milbank, SD 57252-0523 | 2007-05-10 |
| 1093909616 | Mary G Bray | Occupational Therapy Assistant | 309 N Bell Ave, Milbank, SD 57252-1302 | 2007-08-28 |
| 1013024009 | Avera Mckennan | Clinic/Center | 301 Flynn Dr, Milbank, SD 57252-1502 | 2006-08-24 |
| 1326154220 | Avera Mckennan | Medicare Defined Swing Bed Unit | 301 Flynn Dr, Milbank, SD 57252-1502 | 2006-08-22 |
| Find all providers in zip 57252 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1649234428 | Vichit Vanadurongvan | General Practice | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383329 | Lmmc Sioux Falls, LLC | General Practice | 5919 S Remington Pl, Sioux Falls, SD 57108-5143 | 2019-12-20 |
| 1740519073 | Joselyn Agosto-betancourt | General Practice | East Highway 18 Ihs Compound, Pine Ridge, SD 57770-1201 | 2009-12-16 |
| 1679756399 | Johanna Militza Camacho | General Practice | 24276 166 Th St Airport Road, Eagle Butte, SD 57625 | 2007-12-17 |
| 1912187865 | Steven Michael Burtz | General Practice | 1702 Main St, Tyndall, SD 57066 | 2007-11-08 |
| 1366647893 | Julio Enrique Almeyda | General Practice | 24276 166 St Airport Road, Eagle Butte, SD 57625-1155 | 2007-06-15 |
| 1548477565 | Arlene Flores | General Practice | Camino Aviles Res Carr 830, Km5.2 Cerro Gordo, Bayamon, SD 00956-9606 | 2007-05-17 |
| 1063630150 | Elizabeth Anne Pearl | General Practice | 7037 Freedom Ct, Apt B, Summerset, SD 57718-8712 | 2007-04-23 |
| 1942382585 | Robert C. Preston | General Practice | 408 Knollwood Dr, Rapid City, SD 57701-0600 | 2006-10-20 |
| 1083624241 | Antonio Mora Alandy | General Practice | 200 J Ave Ste A, Eureka, SD 57437-2225 | 2006-08-09 |
| 1710961081 | Pedro H Ibarra-perocier | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KANYA VANADURONGVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.