Individual
NIKITH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 S NEW BALLAS RD, CREVE COEUR, MO 63141-8221
(314) 251-6930
Mailing address
905 STABLEFIELD CT, CREVE COEUR, MO 63141-6095
(314) 397-1291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023021928
MO
208D00000X
General Practice Physician
2025032966
MO
Other
Enumeration date
03/21/2023
Last updated
10/06/2025
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