Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chotchai Boonkham MD PC

Organization Primary Care Clinic/Center · NPI 1619248853

Chotchai Boonkham MD PC is a Primary Care Clinic/Center in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3478 Bridgeland Dr Ste 1
Bridgeton, MO 63044-2619
Phone: (314) 291-3717
Fax: (314) 291-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 34210 (MO)

Record details

NPI number1619248853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chotchai Boonkham — Owner · (314) 291-3717
NPI enumeratedJanuary 19, 2012
Last updated in NPPESJanuary 19, 2012
Mailing address3478 Bridgeland Dr, Suite 1, Bridgeton, MO 63044-2619

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