IndividualActive
Anantachote Vimuktanandana, M.D.
NPI 1003074451 · Student in an Organized Health Care Education/Training Program · Indianapolis, IN
Provider details
- NPI number
- 1003074451
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11013134A (IN)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 11013134A (IN)
Student, Health Care
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
755 W Walnut St Apt D
Indianapolis, IN 46202-3179
Phone: (317) 979-8409
Street-level locationGet directions
Mailing address
755 W Walnut St Apt D
Indianapolis, IN 46202-3179
Registry dates
- Enumerated
- 2008-05-31
- Last updated
- 2008-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.