| Chutiporn Malayamanmd And Duangmarl Malayamanmd Pa | |
|
4001 Wilkens Ave Baltimore MD 21229-5008 | |
| (410) 644-3212 | |
| (410) 646-4735 |
| Full Name | Chutiporn Malayamanmd And Duangmarl Malayamanmd Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4001 Wilkens Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Duangmarl P Malayaman (SECRETARY) |
| Authorized Official Contact | 4106443212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chutiporn Malayamanmd And Duangmarl Malayamanmd Pa 4001 Wilkens Ave Baltimore MD 21229-5008 Ph: (410) 644-3212 | Chutiporn Malayamanmd And Duangmarl Malayamanmd Pa 4001 Wilkens Ave Baltimore MD 21229-5008 Ph: (410) 644-3212 |
| NPI Number | 1104120260 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Medicare PECOS PAC ID | 4082892104 |
|---|---|
| Medicare Enrollment ID | O20110620000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104120260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D18396 (Maryland) | Primary |
| Provider Name | Duangmarl P Malayaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588744171 PECOS PAC ID: 8426236548 Enrollment ID: I20110620000619 |
Empowerment Healthcare Systems,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 108b, Baltimore, MD 21237 Phone: 410-321-1961 Fax: 410-321-1962 | |
Fresh Start Comprehensive Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 E Mount Royal Ave # Ll, Baltimore, MD 21202 Phone: 443-671-1414 Fax: 443-671-1420 | |
Gbmc Health Partners At Jonestown Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Admin Location Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 E Monument St Ste 2626, Baltimore, MD 21287 Phone: 410-933-6430 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 |