Chutiporn Malayamanmd and Duangmarl Malayamanmd PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D18396 Issued in MD

Legal business name

CHUTIPORN MALAYAMANMD AND DUANGMARL MALAYAMANMD PA

Practice address

4001 Wilkens Ave
Baltimore, MD 21229-5008

Phone

(410) 644-3212

Fax

(410) 646-4735

NPI assigned

Jan 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Duangmarl P Malayaman, M.D.

Title

Secretary

Phone

(410) 644-3212

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1104120260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295008",
            "telephone_number": "410-644-3212",
            "fax_number": "410-646-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295008",
            "telephone_number": "410-644-3212",
            "fax_number": "410-646-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUTIPORN MALAYAMANMD AND DUANGMARL MALAYAMANMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MALAYAMAN",
        "authorized_official_first_name": "DUANGMARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-644-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D18396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Church Harbor Hospital Adult Day Health Center
• Leah Church
• Monique Church, LCSW-C, CEAP, SAP
• Taylor Renne Church
• Bryce Matthew Churilla, MD
• Amy Chwa
• Karen Cheryl Chwang, SLP
• Paul John Chyzus
• Lauren Riley Ciambruschini, MS
• Anthony Ciarallo, MD

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.