Amornsawadwattana, Surachai
Amornsawadwattana, Surachai is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Im Gastroenterology, Saint Louis MO 63110-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Amornsawadwattana, Surachai can be contacted via phone (314) 747-2066.Contact Information
Primary practice address
1 Barnes Jewish Hospital Plz Div Im Gastroenterology
Saint Louis MO 63110-1003
Phone: (314) 747-2066
Fax: (314) 362-2357
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2015038208 | Missouri |
Profile Details
NPI number | 1952666976 |
---|---|
LBN Legal business name | Amornsawadwattana, Surachai |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2012 |
Last updated | Apr 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952666976 | NPPES |
Missouri | MEDICAID | 200022390 |
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