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Contact Information

RIA MEDICAL, LLC
105 CREEKSIDE OFFICE DR.
WENTZVILLE, MO63385
 Phone: 636-639-6262
 Fax: 636-639-1375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RIA MEDICAL, LLC

NPI Number 1174615025
LBN Legal business name RIA MEDICAL, LLC
Authorized official NAVIN CHOUDHARY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 10/27/2014 - About 12 years ago
Identifiers
MO License # 2007036351
MO License # 2011002808
MO Medicaid 1437455441
MO Medicaid 204476907
MO Medicaid 204488805
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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