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Individual

DR. VORACHART AUETHAVEKIAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HEMATOLOGY, SAINT LOUIS, MO 63110-1003
(314) 362-7216
(314) 362-8813
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7216
(314) 362-8813

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
101123
MO
207RH0000X
Hematology (Internal Medicine) Physician
Primary
101123
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200138879
MO
Enumeration date
04/22/2006
Last updated
04/15/2025
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