Chanarong Suphavejkornkij, M.D.
NPI #1396758371 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1396758371
- Entity Type
- Individual
- Name
- Chanarong Suphavejkornkij, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Mar 21, 2016
Practice Location
- Address
- 5 WOODVALLEY CT
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136-4629
- Phone
- (443) 881-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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