IndividualActive
Charoen Mankongpaisarnrung, M.D.
NPI 1649567926 · Gastroenterology Physician · Saint Paul, MN
Provider details
- NPI number
- 1649567926
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10178 (SD)
Practice location
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (651) 254-8680
Fax: (651) 254-8656
Mailing address
8170 33rd Ave S
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.