IndividualActive
Boonlieng Wongchaowart, M.D.
NPI 1255431748 · Anatomic Pathology & Clinical Pathology Physician · Chardon, OH
Provider details
- NPI number
- 1255431748
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35-040947 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone: (440) 285-6348
Approximate (ZIP-level) locationGet directions
Mailing address
8328 Bainbridge Rd
Chagrin Falls, OH 44023-4722
Registry dates
- Enumerated
- 2006-09-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.