Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FERNANDO RAFAEL MEDINA CARBONELL, M.D.
ActiveDR. FERNANDO RAFAEL MEDINA CARBONELL, M.D. is a Pediatric Gastroenterology healthcare provider located in SAINT LOUIS, Missouri. NPI 1467747659 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1467747659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2011 (14.97771138453 yrs)
- Last Updated
- Jan 18, 2021
- Licenses
-
29938 (NE)2020001532 (MO)
Practice Information
- Address
-
1465 S GRAND BLVDSAINT LOUIS, MO, 631041003Browse MO providers · Browse ZIP 63104
- Phone
- 3142684010
- Fax
- 3142682775
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Other Pediatric Gastroenterology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. MERYL KERSTEN PERLMAN | MD | 1790767846 |
| DR. DAVID H PERLMUTTER | MD | 1568437721 |
| DR. MARK E LOWE | MD | 1033187968 |
| DR. ROSS WILLIAM SHEPHERD | MD | 1215954771 |
| DR. PHILLIP IRWIN TARR | MD | 1528086048 |
| DR. DAVID A RUDNICK | MD | 1467479915 |
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.