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 |
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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 |
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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 |
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Provider Enumeration Date | 01/04/2011 |
Last Update Date | 01/04/2011 |
Medicare PECOS PAC ID | 4082892104 |
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Medicare Enrollment ID | O20110620000589 |
Identifier | Type | State | Issuer |
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1104120260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | D18396 (Maryland) | Primary |
Provider Name | Duangmarl P Malayaman |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1588744171 PECOS PAC ID: 8426236548 Enrollment ID: I20110620000619 |
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 |