Individual
DR. SUCHADA UNAKUL SAPSIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1614 WILKENS AVE, BALTIMORE, MD 21223-3513
(410) 624-1100
Mailing address
91 BRASS EAGLE CT, SYKESVILLE, MD 21784-8559
(410) 549-9432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D18454
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216335/816335
MAMSI/MDIPA/OCI
MD
05
—
348531500
—
MD
01
—
52487504
BCBS
MD
01
—
D18454
MEDICAL LICENSE
MD
01
—
R081
BC BLUECHOICE
MD
Enumeration date
12/15/2005
Last updated
07/08/2007
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