MEDICARE: RAFI FREDMAN MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1215563374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFI FREDMAN MD LLC

Provider Business Mailing Address
First Line	:	1551 WALL ST STE 420
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-3541
Country	:	US
Telephone Number	:	636-329-4036
Fax Number	:	636-206-2898

Provider Business Practice Location Address
First Line	:	1551 WALL ST STE 420
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-3541
Country	:	US
Telephone Number	:	636-329-4036
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAFI SHMUEL FREDMAN
Credential	:
Telephone Number	:	314-277-3715

Provider Enumeration Date	:	03/20/2020
Last Update Date	:	09/06/2023

Similar Medicare Providers

1225331432 — REGINA DAMPIER
Practice Location Address:

1551 WALL ST STE 300
SAINT CHARLES, MO
63303-3541

Practice Phone: 888-777-1945
Practice Fax:

1154687077 — ELIZABETH H MAYLACK D.O.
Practice Location Address:

1551 WALL ST STE 400
SAINT CHARLES, MO
63303-3541

Practice Phone: 636-669-7006
Practice Fax: 636-669-7008

1972923126 — RAFI FREDMAN MD
Practice Location Address:

1551 WALL ST STE 420
SAINT CHARLES, MO
63303-3541

Practice Phone: 636-329-4036
Practice Fax: 636-206-2898

1205218344 — AMY THERESA MCCORY ANP
Practice Location Address:

1551 WALL ST STE 400
SAINT CHARLES, MO
63303-3541

Practice Phone: 636-669-7006
Practice Fax: 636-669-7008

1912356312 — DR. ALAN TOM M.D.
Practice Location Address:

1551 WALL ST STE 420
SAINT CHARLES, MO
63303-3541

Practice Phone: 636-329-4036
Practice Fax:

1104342708 — WALGREEN CO
Practice Location Address:

7133 SAINT CHARLES AVE
NEW ORLEANS, LA
70118-3541

Practice Phone: 504-861-3638
Practice Fax:

Directions to “RAFI FREDMAN MD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.