Distha-Banchong, Sinee

Distha-Banchong, Sinee is an individual health care provider with primary practice located at 1402 S Grand Blvd Division Of Nephrology (9-Fdt), Saint Louis MO 63104-1004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Distha-Banchong, Sinee can be contacted via phone (314) 577-8765.

Contact Information

Primary practice address
1402 S Grand Blvd Division Of Nephrology (9-Fdt) Saint Louis MO 63104-1004
Phone: (314) 577-8765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2012037985 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012037985 Missouri

Profile Details

NPI number 1669726832
LBN Legal business name Distha-Banchong, Sinee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Nov 9th, 2012 - about 13 years ago

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.

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