Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PARKPOOM PHATHARACHARUKUL, M.D.
Active Sole ProprietorMR. PARKPOOM PHATHARACHARUKUL, M.D. is a Gastroenterology healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1205254547 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1205254547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2014 (12.375140861989 yrs)
- Last Updated
- Oct 20, 2023
- Licenses
-
11709 (SD)72751 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6500 EXCELSIOR BLVDST LOUIS PARK, MN, 554264702Browse MN providers · Browse ZIP 55426
- Phone
- 9529933240
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| GEORGE LOGAN | — | 1396728887 |
| DR. ANN M KOOLS | M.D. | 1871578419 |
| HUGH EDMONDSON | — | 1528043973 |
| DR. MICHAEL LEVY | M.D. | 1922083740 |
| DAVID STOLPMAN | — | 1639156243 |
| LAURA STAHNKE | — | 1982681631 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.