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CHANARONG SUPHAVEJKORNKIJ M.D.
NPI 1396758371
Specialist in Reisterstown, MD

Active since August 14, 2006
5 WOODVALLEY CT, REISTERSTOWN, MD 21136(443) 881-4777(443) 881-4739 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanarong Suphavejkornkij M.d. NPPES

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

CHANARONG SUPHAVEJKORNKIJ M.D. (NPI 1396758371) is an individual specialist in Reisterstown, Maryland, licensed in Maryland (D0018970) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396758371
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCHANARONG SUPHAVEJKORNKIJCredential: M.D.
Location Address5 WOODVALLEY CTReisterstown, MD 21136-4629
Mailing Address5 Wood Valley CtReisterstown, MD 21136-4629 · (443) 881-4777 · Fax (410) 881-4739
Phone(443) 881-4777
Fax(443) 881-4739
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateMarch 21, 2016
✔ NPI 1396758371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0018970
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5 WOODVALLEY CT, Reisterstown, MD 21136
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Other Identifiers 3

Medicare UPIND84654MD
Medicare PIN8389MD
Medicaid790611100MD

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 Chanarong Suphavejkornkij's NPI number?

The NPI number for Chanarong Suphavejkornkij is 1396758371. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Chanarong Suphavejkornkij located?

Chanarong Suphavejkornkij practices at 5 Woodvalley Ct, Reisterstown, MD 21136. The listed phone number is (443) 881-4777.

What is Chanarong Suphavejkornkij's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Chanarong Suphavejkornkij was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.