National Provider Identifier Database

FERNANDO R MEDINA CARBONELL, MD – NPI #1467747659
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

FERNANDO R MEDINA CARBONELL, MD
1465 S GRAND BLVD
SAINT LOUIS, MO63104-1003
Phone: 314-268-4010
Fax: 314-268-2775
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for FERNANDO R MEDINA CARBONELL

NPI Number 1467747659
Credentials MD
Entity Individual
Enumeration date 06/15/2011
Last updated 01/18/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2020001532
  • NE License #: 29938
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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