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NPI Code Detail

MEDICARE: DR. ALEXANDER RUDOI MD

MEDICARE:  DR. ALEXANDER  RUDOI  MD
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
1207R00000XInternal Medicine PhysicianMO100186MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DB2750OTHERMOMEDCIARE RR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740254374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER RUDOI MD
Provider Business Mailing Address
First Line : 4346 LOUGHBOROUGH AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-2104
Country : US
Telephone Number : 314-481-7030
Fax Number : 314-481-7120
Provider Business Practice Location Address
First Line : 4346 LOUGHBOROUGH AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-2104
Country : US
Telephone Number : 314-481-7030
Fax Number : 314-481-7120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 11/13/2007

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Directions to “ DR. ALEXANDER RUDOI MD” Practice Location

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