| Doctor Name: | ANN C VANICHKACHORN |
| NPI Number: | 1295719888 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101221376 |
| Business Practice Address: | 2240 John Rolfe Pkwy Richmond, VA - 232336913 |
| Business Phone Number: | 8042884084 |
| Business Fax Number: | 8045459548 |
| Mailing Address: | 7130 Glen Forest Dr, Suite 101, Attn: Nancy RICHMOND |
| State: | VA |
| Postal Code: | 232263754 |
| Phone Number: | 8042821095 |
| Fax Number: | 8042822678 |
| NPI Enumeration Date: | 12/06/2005 |
| NPI Last Update Date: | 02/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101221376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |