Individual
RAJESHWAR PEDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
(314) 617-0606
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004011008
MO
208M00000X
Hospitalist Physician
2004011008
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043283989
—
IL
05
—
209296011
—
MO
Enumeration date
02/10/2006
Last updated
10/19/2011
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