Kanya Vanadurongvan, MD is a
General Practice physician based in Milbank, South Dakota. Kanya Vanadurongvan is licensed to practice in South Dakota (license number 2408) and her current practice location is 803 E Milbank Ave, Milbank, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 432-4587.
NPI number for Kanya Vanadurongvan is 1760446603 and her current mailing address is 13516 Sodak Rd, Wilmot, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760446603.
Physician's Profile
| Full Name | Kanya Vanadurongvan |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 803 E Milbank Ave, Milbank, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760446603
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Kanya Vanadurongvan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760446603 | NPI | - | NPPES |
| 299363500 | Medicaid | MN | |
| 6700334 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 2408 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanya Vanadurongvan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kanya Vanadurongvan, MD
13516 Sodak Rd,
Wilmot, SD 57279-8211
Ph: (605) 938-4574 | Kanya Vanadurongvan, MD
803 E Milbank Ave,
Milbank, SD 57252-1413
Ph: (605) 432-4587 |
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