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Contact Information

CHAROEN MANKONGPAISARNRUNG, MD
435 PHALEN BLVD
SAINT PAUL, MN55130-5302
 Phone: 651-254-8680
 Fax: 651-254-8656
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHAROEN MANKONGPAISARNRUNG · (Male)

NPI Number 1649567926
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD042302
  • MN License # 70746
  • SD License # 10178
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
  • SANFORD ABERDEEN MEDICAL CENTER - (Acute Care)
    2905 3RD AVE SE
    ABERDEEN, SD 57402
  • SANFORD SHELDON MEDICAL CENTER - (Critical Access)
    118 NORTH 7TH AVENUE
    SHELDON, IA 51201
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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