NPI 1053501973

Rajendra Gavini, MD

Practitioner General Practice Physician Saint Louis, MO

Practice location

Address: 12101 Woodcrest Executive Dr Suite 210, Saint Louis, MO 63141-5047
Phone: (314) 317-0600
Fax: (314) 317-0606

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence R6940 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1053501973
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2007
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.