IndividualActive
Pavan Rao, M.D.
NPI 1013363829 · Colon & Rectal Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1013363829
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2025014653 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
621 S New Ballas Rd Ste 7011b
Saint Louis, MO 63141-8275
Phone: (314) 251-6840
Fax: (314) 251-7249
Approximate (ZIP-level) locationGet directions
Mailing address
621 S New Ballas Rd Ste 7011b
Saint Louis, MO 63141-8275
Registry dates
- Enumerated
- 2016-05-11
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.