Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHOTCHAI BOONKHAM, M.D.
Active Sole ProprietorDR. CHOTCHAI BOONKHAM, M.D. is a Internal Medicine healthcare provider located in BRIDGETON, Missouri. NPI 1417058959 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BRIDGETON, MO
Registration Details
- NPI Number
- 1417058959
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.898413863734 yrs)
- Last Updated
- Jan 19, 2012
- License
-
34210 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3478 BRIDGELAND DRSUITE 1BRIDGETON, MO, 630442619Browse MO providers · Browse ZIP 63044
- Phone
- 3142913717
- Fax
- 3142911671
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| ROBERT BYRNE | M.D. | 1124009022 |
| LESLIE LAUNCH | M.D. | 1346221090 |
| SEAN T MCLAUGHLIN | M.D. | 1023099785 |
| NAVID S SIDDIQUI | MD | 1083692677 |
| IMRAN HANAFI | MD | 1588637516 |
| RADHIKA JALADI | MD | 1376516302 |
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.