Surichamorn, Patcharin

Surichamorn, Patcharin is an individual health care provider with primary practice located at 4 W Rolling Crossroads Suite 100, Baltimore MD 21228-6280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Surichamorn, Patcharin can be contacted via phone (410) 869-0100.

Contact Information

Primary practice address
4 W Rolling Crossroads Suite 100 Baltimore MD 21228-6280
Phone: (410) 869-0100
Fax: (410) 869-0460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0017134 Maryland

Profile Details

NPI number 1205869336
LBN Legal business name Surichamorn, Patcharin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 9th, 2007 - about 19 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 1205869336 NPPES
Other 2330356 AETNA HMO
Other 7360111 AETNA HMO
Other 1980499 AETNA HMO
MEDICAID 54847 AETNA HMO
Other 76883501 AETNA HMO
Other 9628375001 AETNA HMO
Other 9984 AETNA HMO
Other 0035 AETNA HMO
Other 112468 AETNA HMO
Other 700248 AETNA HMO
Other 039588 AETNA HMO
Other 281958 AETNA HMO
MEDICAID 757361800 AETNA HMO
MEDICAID 1980499 AETNA HMO

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