Peyapong Patanaphan, M.D., Pa

LBN: Pat Tana, M.D., Pa
Peyapong Patanaphan, M.D., Pa is an health care organization with primary practice located at 5400 Old Court Rd Suite 101, Randallstown MD 21133-5100. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pat Tana, M.D., Pa can be contacted via phone (410) 922-1661, or through Tana, Pat via phone (410) 922-1661.

Contact Information

Primary practice address
5400 Old Court Rd Suite 101 Randallstown MD 21133-5100
Phone: (410) 922-1661
Fax: (410) 922-0365
Website:
Map and Directions
Authorized official contact:
Name: Tana, Pat M.D., PA
Phone: (410) 922-1661

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D21797 Maryland

Profile Details

NPI number 1992961148
LBN Legal business name Pat Tana, M.D., Pa
DBA Doing business as Peyapong Patanaphan, M.D., Pa
Authorized official Tana, Pat M.D., PA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2008
Last updated Jan 7th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992961148 NPPES
Maryland MEDICAID 979801300

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