Peddi, Rajeshwar

Peddi, Rajeshwar is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Peddi, Rajeshwar can be contacted via phone (314) 525-1000.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Phone: (314) 525-1000
Fax: (314) 617-0606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004011008 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2004011008 Missouri

Profile Details

NPI number 1043283989
LBN Legal business name Peddi, Rajeshwar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043283989 NPPES
Missouri MEDICAID 209296011
Missouri MEDICAID 1043283989

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