IndividualActive
Chanarong Suphavejkornkij, M.D.
NPI 1396758371 · Specialist · Reisterstown, MD
Provider details
- NPI number
- 1396758371
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D0018970 (MD)
Specialties & taxonomies
Other Service Providers
Practice location
5 Woodvalley Ct
Reisterstown, MD 21136-4629
Phone: (443) 881-4777
Fax: (443) 881-4739
Approximate (ZIP-level) locationGet directions
Mailing address
5 Wood Valley Ct
Reisterstown, MD 21136-4629
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2016-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.