Individual provider · Type 1 NPI

Sinee Distha-Banchong, MD

Nephrology Physician · St. Louis, MO

NPI number 1669726832 Active

Practice location

1402 S Grand Blvd, Division Of Nephrology (9-FDT)
St. Louis, MO 63104-1004

Call (314) 577-8765 Map

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X2012037985 (MO)
Internal Medicine Physician 207R00000X2012037985 (MO)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1669726832

Sinee Distha-Banchong, MD's National Provider Identifier is 1669726832, issued on Nov 9, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in St. Louis, MO. The record was last updated on Nov 9, 2012.