Individual provider · Type 1 NPI
Chanarong Suphavejkornkij, MD
Specialist · Reisterstown, MD
NPI number
1396758371
Active
Practice location
5 Woodvalley Ct
Reisterstown, MD 21136-4629
Fax (443) 881-4739
Mailing address
5 Wood Valley Ct
Reisterstown, MD 21136-4629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | D0018970 (MD) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Reisterstown
About NPI 1396758371
Chanarong Suphavejkornkij, MD's National Provider Identifier is 1396758371, issued on Aug 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Reisterstown, MD. The record was last updated on Mar 21, 2016.