BOONYONG P THADA, M.D., P.A.
NPI 1194035097
Internal Medicine in Baltimore, MD

Active since October 14, 2010
5356 REISTERSTOWN RD, BALTIMORE, MD 21215(410) 358-5111(410) 358-9169 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boonyong P Thada, M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOONYONG P THADA, M.D., P.A. (NPI 1194035097) is a healthcare organization registered as an internal medicine in Baltimore, Maryland and active in the NPI registry since October 2010. The organization lists Boonyong P Thada, Physician, as its authorized official.

NPPES Registry Identity

NPI1194035097
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBOONYONG P THADA, M.D., P.A.
Location Address5356 REISTERSTOWN RDBaltimore, MD 21215-4426
Mailing Address5356 Reisterstown RdBaltimore, MD 21215-4426 · (410) 358-5111 · Fax (410) 358-9169
Fax(410) 358-9169
Organization SubpartYes
Authorized OfficialBoonyong P ThadaPhysician · (410) 358-5111
Enumeration DateOctober 14, 2010
Last NPPES UpdateOctober 19, 2010
NPI 1194035097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0019823
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5356 REISTERSTOWN RD, Baltimore, MD 21215

Other Identifiers 2

Medicaid220561100MD
Medicare UPINB69679MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boonyong P Thada, M.D., P.A.'s NPI number?

The NPI number for Boonyong P Thada, M.D., P.A. is 1194035097. It was assigned to this organization in the NPPES registry on October 14, 2010.

Where is Boonyong P Thada, M.D., P.A. located?

Boonyong P Thada, M.D., P.A. is located at 5356 Reisterstown Rd, Baltimore, MD 21215. The listed phone number is (410) 358-5111.

What is Boonyong P Thada, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Boonyong P Thada, M.D., P.A. was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.