Dr. Boris Khariton
Pain Medicine
70 Jungermann Circle
St Peters
, Missouri 63376
Dr. Boris Khariton
Pain Medicine
70 Jungermann Circle
St Peters
, Missouri 63376
(314) 667-5535
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Boris Khariton
- 6125 Clayton Ave Suite 101
- St Louis, MO
- Zip : 63139
- Phone : (314) 667-5535
Second Address
- Dr. Boris Khariton
- 70 Jungermann Circle
- St Peters, MO
- Zip : 63376
- Phone : (314) 667-5535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 110866 | MO |
National Provider Identifier
| NPI | 1205896495 |
|---|---|
| Provider Name | Dr. Boris Khariton |
| First Address | St Louis, MO 63139 |
| Second Address | St Peters, MO 63376 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 01/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 203718 | MEDICARE OF ILLINOIS (01) | MO |
| 204975718 | (05) | MO |
| 250013155 | MEDICARE RAILROAD OF IL (01) | MO |
| 250013745 | MEDICARE RAILROAD OF MO (01) | MO |
| H13860 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.