Individual provider · Type 1 NPI

Chaiyos Khongkhatithum, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1033377528 Active

Practice location

5323 Harry Hines Blvd, Ut Southwestern Medical Center, Div. Of Pediatric Neuro
Dallas, TX 75390-7201

Call (214) 456-8242 Map

Mailing address

12000 Fairhill Rd, Apt. G1
Cleveland, OH 44120-1035

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X57012391 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033377528

Chaiyos Khongkhatithum, MD's National Provider Identifier is 1033377528, issued on May 30, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on May 30, 2008.