Individual provider · Type 1 NPI

Rajendra Gavini, MD

General Practice Physician · St. Louis, MO

NPI number 1053501973 Active

Practice location

12101 Woodcrest Executive Dr, Suite 210
St. Louis, MO 63141-5047

Call (314) 317-0600 Map

Fax (314) 317-0606

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XR6940 (MO)

General Practice Physician: 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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About NPI 1053501973

Rajendra Gavini, MD's National Provider Identifier is 1053501973, issued on Jul 26, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 22, 2014.