Individual
TANATHUN KAJORNSAKCHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE # NA-23, CLEVELAND, OH 44195-1329
(216) 444-2200
Mailing address
7901 BROADWAY RM C10-12, ELMHURST, NY 11373-1329
(718) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
35.147547
OH
Other
Enumeration date
07/13/2019
Last updated
07/23/2024
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