Individual
AJITESH RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6751
(618) 465-8666
(618) 465-8670
Mailing address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6704
(618) 465-8666
(618) 465-8670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.116545
IL
2084N0400X
Neurology Physician
2005018833
MO
Other
Enumeration date
05/28/2006
Last updated
05/12/2021
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