Provider Demographics
NPI:1053432724
Name:R & P LIMPUANGTHIP, M.D., P.A.
Entity type:Organization
Organization Name:R & P LIMPUANGTHIP, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REANGTHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMPUANGTHIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-345-1272
Mailing Address - Street 1:7721 BELLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3300
Mailing Address - Country:US
Mailing Address - Phone:301-345-1272
Mailing Address - Fax:301-474-2671
Practice Address - Street 1:7721 BELLE POINT DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3300
Practice Address - Country:US
Practice Address - Phone:301-345-1272
Practice Address - Fax:301-474-2671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019591174400000X
MDD0020196174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC198519Medicare PIN