Boonyong P Thada, MD, PA
Boonyong P Thada, MD, PA is an Internal Medicine Physician in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2010.
- Licensed in
- MD
- In the registry since
- 2010
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5356 Reisterstown RdBaltimore, MD 21215-4426
Phone: (410) 358-5111
Fax: (410) 358-9169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D0019823 (MD) |
|---|
Record details
| NPI number | 1194035097 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Boonyong P Thada, MD, PA |
| Authorized official | Boonyong Thada — Physician · (410) 358-5111 |
| NPI enumerated | October 14, 2010 |
| Last updated in NPPES | October 19, 2010 |
| Mailing address | 5356 Reisterstown Rd, Baltimore, MD 21215-4426 |
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