Patanaphan, Peyapong

Patanaphan, Peyapong is an individual health care provider with primary practice located at 200 E 33Rd St Suite 631, Baltimore MD 21218-3322. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Patanaphan, Peyapong can be contacted via phone (410) 532-4848.

Contact Information

Primary practice address
200 E 33Rd St Suite 631 Baltimore MD 21218-3322
Phone: (410) 532-4848
Fax: (410) 554-4455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D21797 Maryland
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D0021797 Maryland

Profile Details

NPI number 1578634242
LBN Legal business name Patanaphan, Peyapong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 13th, 2016 - about 10 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 1578634242 NPPES
Maryland MEDICAID 979801300

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