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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOMJADE J SONGCHAROEN · (Male)

NPI # 1255628517
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2011
Last updated 01/01/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 23081
  • MS Medicaid 00986532
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
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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