Provider Demographics
NPI:1740772425
Name:MALAKORN, SONGPHOL (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:SONGPHOL
Middle Name:
Last Name:MALAKORN
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 1484 1400 PRESSLER ST.
Mailing Address - Street 2:DEPARTMENT OF SURGICAL ONCOLOGY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:281-460-9262
Mailing Address - Fax:
Practice Address - Street 1:1400 PRESSLER ST
Practice Address - Street 2:MD ANDERSON CANCER CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:281-460-9262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6775632086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology