Individual
GERAYU NIYAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-6350
(816) 271-6753
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022017853
MO
207L00000X
Anesthesiology Physician
57.013260
OH
Other
Enumeration date
09/04/2007
Last updated
10/09/2024
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