Provider Demographics
NPI:1487979431
Name:CHONHENCHOB, AREEPORN (MD)
Entity type:Individual
Prefix:
First Name:AREEPORN
Middle Name:
Last Name:CHONHENCHOB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 STINCHCOMB DR
Mailing Address - Street 2:APT.11
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1767
Mailing Address - Country:US
Mailing Address - Phone:614-599-2594
Mailing Address - Fax:
Practice Address - Street 1:484 STINCHCOMB DR
Practice Address - Street 2:APT.11
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1767
Practice Address - Country:US
Practice Address - Phone:614-599-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ24740207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery