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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOONYONG P THADA, M.D., P.A.

Active Organization

BOONYONG P THADA, M.D., P.A. is a Internal Medicine organization located in BALTIMORE, Maryland. NPI 1194035097 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · BALTIMORE, MD

Registration Details

NPI Number
1194035097
Provider Type
Organization
NPI Issued
Oct 14, 2010 (15.863816145771 yrs)
Last Updated
Oct 19, 2010
License
D0019823 (MD)

Practice Information

Address
5356 REISTERSTOWN RD
BALTIMORE, MD, 212154426
Browse MD providers · Browse ZIP 21215
Phone
4103585111
Fax
4103589169
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.