Individual
DR. JODIE RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD, SUITE 352-C, SAINT LOUIS, MO 63131-2322
(314) 395-8192
(314) 395-8196
Mailing address
3009 N BALLAS RD, SUITE 352-C, SAINT LOUIS, MO 63131-2322
(314) 996-4010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
101761
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
101761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701032
UNITED HEALTH CARE
MO
01
—
111599
BLUE CROSS BLUE SHIELD
MO
01
—
177835
HEALTHLINK
MO
01
—
516V38088
GROUP HEALTH PLAN
MO
Enumeration date
08/15/2005
Last updated
05/17/2021
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