# CHUTIPORN MALAYAMANMD AND DUANGMARL MALAYAMANMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104120260
- **Authorized official:** DR. DUANGMARL P MALAYAMAN M.D. (SECRETARY)
- **Authorized official phone:** (410) 644-3212

## Contact information

- **Practice address:** 4001 WILKENS AVE, BALTIMORE, MD 21229-5008
- **Practice address phone:** (410) 644-3212
- **Practice address fax:** (410) 646-4735
- **Mailing address:** 4001 WILKENS AVE, BALTIMORE, MD 21229-5008
- **Mailing address phone:** (410) 644-3212
- **Mailing address fax:** (410) 646-4735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D18396 | MD | Yes |

## Other

- **Enumeration date:** 01/04/2011
- **Last updated:** 01/04/2011