Individual
DR. CHINTANA SUANLARM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5129 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2326
(215) 849-6555
(215) 849-6555
Mailing address
5129 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2326
(215) 849-6555
(215) 849-6555
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD035781L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011018950001
—
PA
01
—
0045826000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0110189501
AMERICHOICE
PA
01
—
1013359
KEYSTONE MERCY HEALTH PLA
PA
01
—
20909MD035781L
HEALTH PARTNERS
PA
Enumeration date
01/11/2007
Last updated
07/08/2007
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