Rajiv Sadana, MD
Individual provider Active NPI Internal Medicine Physician · O'Fallon, MO
NPI 1669423034 · NPPES record last updated May 6, 2013
Key facts
- NPI
- 1669423034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2011002614 (MO)
- Practice address
- 844 Waterbury Falls Drive
St Charles Cboc
O'Fallon, MO 63368 - Phone
- (314) 289-7676
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011002614 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claude Errington Williams, DPM, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2011002614 | MO | Yes |
Addresses
Primary practice location
844 Waterbury Falls Drive
St Charles Cboc
O'Fallon, MO 63368
Mailing address
13531 Coliseum Dr
Chesterfield, MO 63017-3004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01512243 | Medicaid | NY |
Other providers in O'Fallon, MO
- Reetika Puri
- Qi Enterprises
- Michelle Rega
- Matthew E Reyering
- Brett Rough
- Beverly Dawn Schneider
- Laura Michelle Sibley
- Lillie L Smith
- Spectrum Monitoring, LLC
- St Lukes Center for Diagnostic Imaging LLC
All providers in O'Fallon, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.