Healthcare Provider Details

I. General information

NPI: 1417362708
Provider Name (Legal Business Name): RITU KATHURIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 US HIGHWAY 61
FESTUS MO
63028-4100
US

IV. Provider business mailing address

1400 US HIGHWAY 61
FESTUS MO
63028-4100
US

V. Phone/Fax

Practice location:
  • Phone: 636-933-5337
  • Fax: 636-933-8090
Mailing address:
  • Phone: 636-933-5337
  • Fax: 636-933-8090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2019014154
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: