National Provider Identifier Database

SOMJADE J SONGCHAROEN, MD – NPI #1255628517
Plastic and Reconstructive Surgery


Contact Information

SOMJADE J SONGCHAROEN, MD
971 LAKELAND DR STE 315
JACKSON, MS39216-4607
Phone: 601-414-9530
Fax: 601-206-0153
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Surgery of the Hand 2082S0105X

* Indicates primary specialty

NPI Profile & details for SOMJADE J SONGCHAROEN

NPI Number 1255628517
Credentials MD
Entity Individual
Enumeration date 07/06/2011
Last updated 01/01/2026 - About 5 months ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 23081
  • MS Medicaid: 00986532
Hospital affiliation n/a

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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