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

Panvathu Rungsiyaphornratana, MD

Individual provider Pediatrics Physician · NPI 1790528230

Panvathu Rungsiyaphornratana, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
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

1 Childrens Pl
Saint Louis, MO 63110-1081
Phone: (314) 454-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 43-0654870 (MO)

Record details

NPI number1790528230
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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