Songcharoen, Somjade Jay

Songcharoen, Somjade Jay is an individual health care provider with primary practice located at 160 Fountains Blvd Ste B , Madison MS 39110-6380. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Songcharoen, Somjade Jay can be contacted via phone (601) 981-2525.

Contact Information

Primary practice address
160 Fountains Blvd Ste B Madison MS 39110-6380
Phone: (601) 981-2525
Fax: (601) 981-3152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 23081 Mississippi
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 23081 Mississippi
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 23081 Mississippi

Profile Details

NPI number 1255628517
LBN Legal business name Songcharoen, Somjade Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Sep 26th, 2022 - about 4 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 1255628517 NPPES
Mississippi MEDICAID 00986532

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