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Mr. Parkpoom Phatharacharukul, MD
Gastroenterology Physician in St Louis Park, Minnesota
NPI 1205254547

Parkpoom Phatharacharukul is a Gastroenterology Physician based in Bloomington, MN and is specialized in Gastroenterology. Parkpoom Phatharacharukul practices in St Louis Park, MN and has the professional credentials of MD. The NPI Number for Parkpoom Phatharacharukul is 1205254547 and holds a License No. (Minnesota).

The current practice location address for Parkpoom Phatharacharukul is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-993-3240.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205254547
Provider Name
Parkpoom Phatharacharukul
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Phone Number
952-993-3240
Fax Number
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3240
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3240
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
11709 (South Dakota)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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