Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boonyong P Thada, MD, PA

Organization Internal Medicine Physician · NPI 1194035097

Boonyong P Thada, MD, PA provides Internal Medicine Physician services in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5356 Reisterstown Rd
Baltimore, MD 21215-4426 Not confirmed with CMS for 15 years — call before visiting
Phone: (410) 358-5111
Fax: (410) 358-9169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0019823 (MD)

Record details

NPI number1194035097
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBoonyong P Thada, MD, PA
Authorized official Boonyong Thada — Physician · (410) 358-5111
NPI enumeratedOctober 14, 2010
Last updated in NPPESOctober 19, 2010
Mailing address5356 Reisterstown Rd, Baltimore, MD 21215-4426

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