Chotchai Boonkham in Bridgeton - Internal Medicine
Chotchai Boonkham - NPI 1417058959
Chotchai Boonkham is a Internal Medicine in Bridgeton, Missouri. Chotchai Boonkham practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Chotchai Boonkham is 1417058959. The last update date is 2012-01-19.
Chotchai Boonkham's current location address is 3478 Bridgeland Dr, Bridgeton, Missouri. You can contact this provider via phone number 3142913717 and fax number 3142911671. The mailing address for Chotchai Boonkham is 3478 Bridgeland Dr, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chotchai Boonkham |
|---|---|
| Address | 3478 Bridgeland Dr, Bridgeton, Missouri |
| Phone Number | 3142913717 |
| Fax Number | 3142911671 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417058959 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 3478 Bridgeland Dr |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442619 |
| Phone Number | 3142913717 |
| Fax Number | 3142911671 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 34210 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6900 | MO | BCBS PROVIDER ID | |
| 200701308 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Chotchai Boonkham by the Centers for Medicare & Medicaid Services?
The Chotchai Boonkham has been assigned the NPI (National Provider Identifier) 1417058959. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Chotchai Boonkham is geographically located?
The Chotchai Boonkham is physically situated at the following location: 3478 Bridgeland Dr, Bridgeton, MO, 630442619.
What is Chotchai Boonkham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chotchai Boonkham is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did the Chotchai Boonkham receive its 1417058959?
The Chotchai Boonkham was issued its 1417058959 on 2006-09-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Chotchai Boonkham last refreshed?
The information related to the Chotchai Boonkham, including its address, specialty, and other relevant details, was last updated on 2012-01-19.
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