Rajendra Gavini in Saint Louis - General Practice
Rajendra Gavini - NPI 1053501973
Rajendra Gavini is a General Practice in Saint Louis, Missouri. Rajendra Gavini practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rajendra Gavini is 1053501973. The last update date is 2014-04-22.
Rajendra Gavini's current location address is 12101 Woodcrest Executive Dr, Saint Louis, Missouri. You can contact this provider via phone number 3143170600 and fax number 3143170606. The mailing address for Rajendra Gavini is 12101 Woodcrest Executive Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rajendra Gavini |
|---|---|
| Address | 12101 Woodcrest Executive Dr, Saint Louis, Missouri |
| Phone Number | 3143170600 |
| Fax Number | 3143170606 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053501973 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2014-04-22 |
Provider Mailing Address Detail
| Address | 12101 Woodcrest Executive Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631415047 |
| Phone Number | 3143170600 |
| Fax Number | 3143170606 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | R6940 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053501973 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Rajendra Gavini by the Centers for Medicare & Medicaid Services?
The Rajendra Gavini has been assigned the NPI (National Provider Identifier) 1053501973. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Rajendra Gavini is located?
The Rajendra Gavini is situated at the following address: 12101 Woodcrest Executive Dr, Saint Louis, MO, 631415047.
What is Rajendra Gavini's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rajendra Gavini is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Rajendra Gavini receive the assignment of its 1053501973 from the Centers for Medicare & Medicaid Services?
The Rajendra Gavini was issued its 1053501973 by the Centers for Medicare & Medicaid Services on 2007-07-26.
When was the information regarding Rajendra Gavini, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rajendra Gavini, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-04-22.
NPI Number: 1720081763
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