4921 PARKVIEW PL 5TH FLOOR, SUITE C
SAINT LOUIS, MO 63110-1032 US
Overview
Decha Enkvetchakul is a Nephrologist in the SAINT LOUIS area. Decha Enkvetchakul primary office location is at 4921 PARKVIEW PL and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205852514 and the information was updated approximately 15 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| 103678 | MO |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 205238603 | MO |
| Taxonomy | State | Primary? |
|---|---|---|
| Nephrologist - Taxonomy Code 207RN0300X | MO | Y |
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