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Individual
DR. CHAIYAPORN BOONCHALERMVICHIAN
Active
Individual
DR. CHAIYAPORN BOONCHALERMVICHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01098101A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01098101A
IN
207RH0003X
Hematology & Oncology Physician
01098101A
IN
207RH0003X
Hematology & Oncology Physician
Primary
A112439
CA
207RX0202X
Medical Oncology Physician
01098101A
IN
282N00000X
General Acute Care Hospital
2008014384
MO
Other
Enumeration date
09/26/2008
Last updated
10/24/2025
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