Provider Demographics
NPI:1912952862
Name:CHINAKARN, NARONG (MD)
Entity Type:Individual
Prefix:
First Name:NARONG
Middle Name:
Last Name:CHINAKARN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROSS PARK
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2671
Mailing Address - Country:US
Mailing Address - Phone:740-283-4779
Mailing Address - Fax:740-283-2081
Practice Address - Street 1:1 ROSS PARK
Practice Address - Street 2:SUITE 201
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2671
Practice Address - Country:US
Practice Address - Phone:740-283-4779
Practice Address - Fax:740-283-2081
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-10-0312-C207V00000X
WVWV10438207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0295069Medicaid
OHD91188Medicare UPIN
OHCH0414324Medicare ID - Type Unspecified