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NPI Code Detail

MEDICARE: DAVID CHARLES VAJNAR MD

MEDICARE: DAVID CHARLES VAJNAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician023513LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487972378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHARLES VAJNAR MD
Provider Business Mailing Address
First Line : PO BOX 1288
Second Line :
City : WINNFIELD
State : LA
Zip : 71483-1288
Country : US
Telephone Number : 318-627-5021
Fax Number :
Provider Business Practice Location Address
First Line : 340 WEBB SMITH DR
Second Line :
City : COLFAX
State : LA
Zip : 71417-1910
Country : US
Telephone Number : 318-627-5021
Fax Number : 318-627-5999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 02/06/2015

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Directions to “ DAVID CHARLES VAJNAR MD” Practice Location

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