GAVINI MEDICAL GROUPLTD NPI 1912014606

NPI Information

  • NPI: 1912014606
  • Provider Name: GAVINI MEDICAL GROUP,LTD
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 10000 WATSON RD
    2L-24
    SAINT LOUIS, MO
    ZIP 63126
  • Phone: (314) 822-7033

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NPI Details

GAVINI MEDICAL GROUP,LTD is a general practice in Saint Louis, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GAVINI MEDICAL GROUP,LTD NPI is 1912014606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10000 WATSON RD
2L-24
SAINT LOUIS, MO
ZIP 63126-854
Phone: (314) 822-7033
Fax: (314) 822-3666

The provider's authorized official is Laura Annette Hawkins .
The authorized official title is Office Manager and has the following contact phone number (314) 822-7033.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 9/23/2008.

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
1208D00000XGeneral PracticeR6940MISSOURIYes

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
117766OTHERMISSOURIBC/BS SHIELD OF MO
21912014606MEDICARE PINMISSOURI
3501758304MEDICAIDMISSOURI
4011155588OTHERMISSOURIRAILROAD MEDICARE
5997OTHERMISSOURIFEDERAL BC/BS OF MO

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: 11/21/2025

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