Individual
DR. PAVAN RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
(314) 251-7249
Mailing address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
(314) 251-7249
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2025014653
MO
Other
Enumeration date
05/11/2016
Last updated
08/27/2025
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