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BOBBY VITAYA ENKVETCHAKUL MD
NPI 1487764882
Clinic/Center - Occupational Medicine in Washington, MO

Active since August 30, 2006
1 W 12TH ST, WASHINGTON, MO 63090(636) 239-0735(636) 239-0907 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bobby Vitaya Enkvetchakul Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOBBY VITAYA ENKVETCHAKUL MD (NPI 1487764882) is an individual occupational medicine provider in Washington, Missouri, licensed in Missouri (MD113081 MO) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487764882
Entity TypeIndividualMale
Primary Taxonomy261QX0100X
Provider Legal NameBOBBY VITAYA ENKVETCHAKULCredential: MD
Location Address1 W 12TH STWashington, MO 63090-4416
Mailing AddressPo Box 1275Washington, MO 63090-8275 · (636) 239-0735 · Fax (636) 239-0907
Phone(636) 239-0735
Fax(636) 239-0907
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1487764882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
License✔ Licensed in MO · MD113081 MO
1 W 12TH ST, Washington, MO 63090
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSOURI OCCUPATIONAL MEDICINE
Clinic/Center (Corporate Health)
1 W 12TH ST
WASHINGTON, MO 63090
Franklin County (636) 239-0735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Enkvetchakul's NPI number?

The NPI number for Bobby Enkvetchakul is 1487764882. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Bobby Enkvetchakul located?

Bobby Enkvetchakul practices at 1 W 12th St, Washington, MO 63090. The listed phone number is (636) 239-0735.

What is Bobby Enkvetchakul's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Bobby Enkvetchakul was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.