Peddi, Rajeshwar
Peddi, Rajeshwar is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Peddi, Rajeshwar can be contacted via phone (314) 525-1000.Contact Information
Primary practice address
10010 Kennerly Rd
Saint Louis MO 63128-2106
Phone: (314) 525-1000
Fax: (314) 617-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2004011008 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2004011008 | Missouri |
Profile Details
| NPI number | 1043283989 |
|---|---|
| LBN Legal business name | Peddi, Rajeshwar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 19th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043283989 | NPPES |
| Missouri | MEDICAID | 209296011 | |
| Missouri | MEDICAID | 1043283989 |
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