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1033377528
CHAIYOS KHONGKHATITHUM
DALLAS, TX
NPI
1033377528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH 57012391)
Enumeration Date
2008-05-30
Last Update Date
2008-05-30
Business Address
Dr. CHAIYOS KHONGKHATITHUM M.D.
5323 HARRY HINES BLVD UT SOUTHWESTERN MEDICAL CENTER, DIV. OF PEDIATRIC NEURO
DALLAS, TX 75390-7201
Phone number: 214-456-8242
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Mailing Address
Dr. CHAIYOS KHONGKHATITHUM M.D.
12000 FAIRHILL RD APT. G1
CLEVELAND, OH 44120-1035
Phone number: 216-466-3510
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