Provider Demographics
NPI:1659571883
Name:TCHOKONTE, RONNY (MD)
Entity Type:Individual
Prefix:DR
First Name:RONNY
Middle Name:
Last Name:TCHOKONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RONNY
Other - Middle Name:
Other - Last Name:TSCHOKONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1859 VILLAGE GREEN BLVD APT 105
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6104
Mailing Address - Country:US
Mailing Address - Phone:248-841-8193
Mailing Address - Fax:
Practice Address - Street 1:1859 VILLAGE GREEN BLVD APT 105
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6104
Practice Address - Country:US
Practice Address - Phone:248-841-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086029174400000X
TXQ0585207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine