Dr. Sudhir R Raikar
Pediatric Emergency Physician
83 Progress Pkwy
Maryland Heights
, Missouri 63043-3701
Dr. Sudhir R Raikar
Pediatric Emergency Physician
83 Progress Pkwy
Maryland Heights
, Missouri 63043-3701
(314) 434-6841
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Sudhir R Raikar
- 920 Bellerive Manor Dr
- Creve Coeur, MO
- Zip : 63141-6094
- Phone : (314) 434-6841
Second Address
- Dr. Sudhir R Raikar
- 83 Progress Pkwy
- Maryland Heights, MO
- Zip : 63043-3701
- Fax : (314) 434-8706
- Phone : (314) 434-8174
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | R8500 | MO |
National Provider Identifier
| NPI | 1124013487 |
|---|---|
| Provider Name | Dr. Sudhir R Raikar |
| First Address | Creve Coeur, MO 63141-6094 |
| Second Address | Maryland Heights, MO 63043-3701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 20/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F08623 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.