Provider Demographics
NPI:1497035976
Name:RAKSAKULTHAI, VINAI (MD)
Entity Type:Individual
Prefix:DR
First Name:VINAI
Middle Name:
Last Name:RAKSAKULTHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 S SUNSET CANYON DR
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4271
Mailing Address - Country:US
Mailing Address - Phone:573-576-9984
Mailing Address - Fax:
Practice Address - Street 1:1045 S SUNSET CANYON DR
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4271
Practice Address - Country:US
Practice Address - Phone:573-576-9984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004004903207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology