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

Individual provider Internal Medicine Physician · NPI 1417058959

Dr. Chotchai Boonkham, MD is an Internal Medicine Physician in Bridgeton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34210 (MO)

Record details

NPI number1417058959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJanuary 19, 2012
Mailing address3478 Bridgeland Dr, Suite 1, Bridgeton, MO 63044-2619

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