Search › Missouri › 207R00000X
Chotchai Boonkham, M.D
NPI 1417058959 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3478 Bridgeland Dr
Suite 1
Bridgeton, MO 63044 - Phone
- (314) 291-3717
- Fax
- (314) 291-1671
- Organisation at this address
- Michael T Katsev Dds Pc
Chotchai Boonkham Md Pc
Berwald Surgical Medical IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri