Chittchang, Sasithorn

Chittchang, Sasithorn is an sole proprietor health care provider with primary practice located at 2338 Daniels Rd , Ellicott MD 21043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chittchang, Sasithorn can be contacted via phone (410) 461-9308.

Contact Information

Primary practice address
2338 Daniels Rd Ellicott MD 21043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0016267 Maryland

Profile Details

NPI number 1255759171
LBN Legal business name Chittchang, Sasithorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2014
Last updated Mar 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255759171 NPPES
Maryland MEDICAID 00594

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