Individual provider · NPI-1
Dr. Amonrath Chittchang, M.D.
Internal Medicine · Timonium, MD
NPI number1265755482
StatusActive
Last updated in NPPESMar 2, 2010
Details
- NPI
- 1265755482
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amonrath Chittchang
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2010
- Last updated
- Mar 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D0019054 | MD | Yes |
Practice location
16 Greenmeadow DrSuite G-105
Timonium, MD 21093-3200
Phone 410-561-5773
Mailing address
9649 Belair RdSecond Floor
Baltimore, MD 21236-1100
Phone 410-248-2650
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