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RIA MEDICAL LLC NPI 1174615025


NPI Information

NPI: 1174615025
Provider Name: RIA MEDICAL, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 26D1035636

Address:
105 CREEKSIDE OFFICE DR.
WENTZVILLE, MO
ZIP 63385
Phone: (636) 639-6262
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RIA MEDICAL, LLC is an internal medicine in Wentzville, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. RIA MEDICAL, LLC NPI is 1174615025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 CREEKSIDE OFFICE DR.
WENTZVILLE, MO
ZIP 63385
Phone: (636) 639-6262
Fax: (636) 639-1375

The provider's authorized official is Navin Choudhary .
The authorized official title is Owner and has the following contact phone number (636) 639-6262.

The CLIA number assigned to this NPI record is 26D1035636 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 10/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207R00000XInternal Medicine2011002808MISSOURINo
3207R00000XInternal Medicine2007036351MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H18476MEDICARE UPINMISSOURI
21437455441MEDICAIDMISSOURI
3204488805MEDICAIDMISSOURI
4MA4981001MEDICARE PINMISSOURI
5MA4981002MEDICARE PINMISSOURI
6I69411MEDICARE UPIN
7H96988MEDICARE UPIN
8204476907MEDICAIDMISSOURI
9MA4982007MEDICARE PINMISSOURI
10MA4981007MEDICARE PINMISSOURI
11MA4982001MEDICARE PINMISSOURI
12MA4982002MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.