Individual
ARPA CHUTIPONGTANATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE # MLC2001, CINCINNATI, OH 45229-3026
(513) 636-4408
Mailing address
3333 BURNET AVE # MLC2001, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.143365
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.028976
OH
Other
Enumeration date
07/20/2018
Last updated
09/23/2021
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