Individual
DR. RAVINDRA V SHITUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11125 DUNN RD, SUITE 301, SAINT LOUIS, MO 63136-6132
(314) 953-8250
(314) 953-8255
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-8250
(314) 953-8255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R6C08
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900035
UNITED HEALTH CARE
MO
01
—
101573
HEALTHLINK
MO
01
—
200021279
RAILROAD MEDICARE
MO
05
—
202017703
—
MO
01
—
20834
BLUE CROSS BLUE SHIELD
MO
01
—
295099002
CIGNA
MO
01
—
4000999
AETNA
MO
01
—
42919
GROUP HEALTH PLAN
MO
Enumeration date
05/09/2006
Last updated
10/15/2014
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