Mr. Parkpoom Phatharacharukul, MD
Mr. Parkpoom Phatharacharukul, MD is a Gastroenterology in St Louis Park, Minnesota. Qualified in 2011, 15 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and South Dakota.
- Years since qualifying
- 15
- Licensed in
- MN, SD
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
St Louis Park, MNNo coordinates on file. Search this address in Google Maps
Additional practice locations (3)
- 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 — (317) 278-4427
- 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 626-5031
- 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105-0410 — (605) 328-8500
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 72751 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Gastroenterology Physician | Taxonomy 207RG0100X · Licence 11709 (SD) |
Record details
| NPI number | 1205254547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2014 |
| Last updated in NPPES | October 20, 2023 |
| Certification date | October 20, 2023 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in St Louis Park
-
Andrea Smiens O'Shea, MD
Student / training record St Louis Park, MN
-
Christina Johanna Olownia
Student / training record St Louis Park, MN
-
Dr. Solveig Louisa Ophaug, MD
Student / training record St Louis Park, MN
-
Nicole Marie Pagel, DO
Student / training record St Louis Park, MN
-
Mariah Reed, MD
Student / training record St Louis Park, MN
-
Kimberly Ann Rehberg, MD
Student / training record St Louis Park, MN
-
Miss. Kristin Nicole Ritter, MD
Student / training record St Louis Park, MN
-
Victoria Rohman
Student / training record St Louis Park, MN