Individual
DR. PATCHARIN SURICHAMORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 W ROLLING CROSSROADS, SUITE 100, BALTIMORE, MD 21228-6280
(410) 869-0100
(410) 869-0460
Mailing address
3 BROOKFIELD GARTH, LUTHERVILLE, MD 21093-4735
(410) 869-0100
(410) 869-0460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0017134
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035
CAREFIRST DC
—
01
—
039588
JOHNS HOPKINS HEALTHCARE
—
01
—
112468
COVENTRY
—
01
—
1980499
UNITED HEALTHCARE
—
05
—
1980499
—
MD
01
—
2330356
AETNA HMO
—
01
—
281958
MAMSI
—
05
—
54847
—
MD
01
—
700248
NCPPO
—
01
—
7360111
AETNA PPO
—
05
—
757361800
—
MD
01
—
76883501
CAREFIRST MARYLAND
—
01
—
9628375001
CIGNA
—
01
—
9984
KAISER
—
Enumeration date
07/09/2006
Last updated
07/09/2007
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