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DR. SINEE DISTHA-BANCHONG M.D.
NPI 1669726832
Internal Medicine - Nephrology in Saint Louis, MO

Active since November 09, 2012
1402 S GRAND BLVD, DIVISION OF NEPHROLOGY (9-FDT), SAINT LOUIS, MO 63104(314) 577-8765 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sinee Distha-banchong M.d. NPPES

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

DR. SINEE DISTHA-BANCHONG M.D. (NPI 1669726832) is an individual nephrology provider in Saint Louis, Missouri, licensed in Missouri (2012037985) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1669726832
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SINEE DISTHA-BANCHONGCredential: M.D.
Location Address1402 S GRAND BLVD, DIVISION OF NEPHROLOGY (9-FDT)Saint Louis, MO 63104-1004
Mailing Address1402 S Grand Blvd, Division Of Nephrology (9-fdt)Saint Louis, MO 63104-1004 · (314) 577-8765
Phone(314) 577-8765
Sole ProprietorNo
Enumeration DateNovember 9, 2012
✔ NPI 1669726832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · 2012037985
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2012037985 (MO)
1402 S GRAND BLVD, Saint Louis, MO 63104
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Other Names 1

Former Name (1)Dr. Sinee Disthabanchong M.d.

Other Providers at the Same Location NPPES 20

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

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
VICTORIA M WITTGEN
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9870
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
MS. FRANCESCA VACCA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8694

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 Sinee Distha-banchong's NPI number?

The NPI number for Sinee Distha-banchong is 1669726832. It was assigned to this individual provider in the NPPES registry on November 9, 2012. The provider is also known as Dr. Sinee Disthabanchong M.D..

Where is Sinee Distha-banchong located?

Sinee Distha-banchong practices at 1402 S Grand Blvd Division Of Nephrology (9-Fdt), Saint Louis, MO 63104. The listed phone number is (314) 577-8765.

What is Sinee Distha-banchong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Sinee Distha-banchong was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.