Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 35074739 | OH |
NPI | 1013915420 |
---|---|
Provider Name | Sasigarn Arunchaiya Bowden |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2005 |
Last Update Date | 27/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2422122 | (05) | OH |
64017726 | NO DISCRIPTION (01) | KY |
64017726 | NO DISCRIPTION (01) | WV |
BO4117662 | MEDICARE (01) | OH |
H34263 | (02) |