Organization
RIA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVIN CHOUDHARY M.D. (OWNER)
(636) 639-6262
Entity
Organization
Contact information
Practice address
105 CREEKSIDE OFFICE DR., WENTZVILLE, MO 63385
(636) 639-6262
(636) 639-1375
Mailing address
105 CREEKSIDE OFFICE DR., WENTZVILLE, MO 63385
(636) 639-6262
(636) 639-1375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007036351
MO
207R00000X
Internal Medicine Physician
2011002808
MO
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437455441
—
MO
05
—
204476907
—
MO
05
—
204488805
—
MO
Enumeration date
09/29/2006
Last updated
10/27/2014
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