Individual
RAKSHA SOORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 615-3500
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2024035618
MO
207V00000X
Obstetrics & Gynecology Physician
39891
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
10/15/2024
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