# DR. CHAROEN MANKONGPAISARNRUNG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649567926
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 10178 | SD | — |
| 207RG0100X | Gastroenterology Physician | 70746 | MN | Yes |
| 207RG0100X | Gastroenterology Physician | MD042302 | DC | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2011
- **Last updated:** 07/21/2022