Healthcare Provider Details

I. General information

NPI: 1144276072
Provider Name (Legal Business Name): RUO-QI HU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10004 KENNERLY RD STE 103A
SAINT LOUIS MO
63128-2173
US

IV. Provider business mailing address

10004 KENNERLY RD STE 103A
SAINT LOUIS MO
63128-2173
US

V. Phone/Fax

Practice location:
  • Phone: 314-447-9600
  • Fax:
Mailing address:
  • Phone: 314-447-9600
  • Fax: 314-447-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2007010297
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: