Individual
KANJANA UNNWONGSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
THE CLEVELAND CLINIC FOUNDATION S10, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 444-8040
Mailing address
12000 FAIRHILL RD, APT#818, CLEVELAND, OH 44120-1035
(216) 707-1953
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24673
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EHP03338900
CLEVELAND CLINIC HEALTH SYSTEM/ EMPLOYEE HEALTH PLAN
—
Enumeration date
12/10/2008
Last updated
12/11/2008
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