Provider Demographics
NPI:1457246605
Name:HARIPOTTAWEKUL, ARIYAPORN
Entity type:Individual
Prefix:
First Name:ARIYAPORN
Middle Name:
Last Name:HARIPOTTAWEKUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 EMORY POINT DR APT 3428
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-5108
Mailing Address - Country:US
Mailing Address - Phone:603-717-4845
Mailing Address - Fax:
Practice Address - Street 1:855 EMORY POINT DR APT 3428
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-5108
Practice Address - Country:US
Practice Address - Phone:603-717-4845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-08-12
Deactivation Date:2025-06-10
Deactivation Code:
Reactivation Date:2025-08-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program