Individual
SUCHEEP PIYASIRISILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5157
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
689365
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R183408
MD
Other
Enumeration date
07/31/2014
Last updated
09/30/2015
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