Mr Rajendra Gavini, MD - General Practice in Saint Louis, MO

Mr Rajendra Gavini, MD is a General Practice physician based in Saint Louis, Missouri. Mr Rajendra Gavini is licensed to practice in Missouri (license number R6940) and his current practice location is 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 317-0600.

NPI number for Mr Rajendra Gavini is 1053501973 and his current mailing address is 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053501973.

Contact Information

Mr Rajendra Gavini, MD
12101 Woodcrest Executive Dr, Suite 210,
Saint Louis, MO 63141-5047
(314) 317-0600
(314) 317-0606



Physician's Profile

Full NameMr Rajendra Gavini
GenderMale
SpecialityGeneral Practice
Location12101 Woodcrest Executive Dr, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053501973
  • Provider Enumeration Date: 07/26/2007
  • Last Update Date: 04/22/2014

Medical Identifiers

Medical identifiers for Mr Rajendra Gavini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053501973NPI-NPPES
1053501973MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice R6940 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Rajendra Gavini is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Rajendra Gavini, MD
12101 Woodcrest Executive Dr, Suite 210,
Saint Louis, MO 63141-5047

Ph: (314) 317-0600
Mr Rajendra Gavini, MD
12101 Woodcrest Executive Dr, Suite 210,
Saint Louis, MO 63141-5047

Ph: (314) 317-0600

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